GILL DENTAL PC
NPI: 1730582412
· LANSING, MI 48912
· Dentist
· NPI assigned 10/08/2014
$195K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BERTOLLINI, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$5K |
| 2019 |
320 |
$15K |
| 2020 |
493 |
$16K |
| 2021 |
1,086 |
$37K |
| 2022 |
1,056 |
$37K |
| 2023 |
1,095 |
$40K |
| 2024 |
1,116 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
1,439 |
1,438 |
$78K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,635 |
1,631 |
$60K |
| D1110 |
Prophylaxis - adult |
854 |
853 |
$41K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
56 |
30 |
$6K |
| D1206 |
Topical application of fluoride varnish |
1,001 |
999 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
81 |
81 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
39 |
39 |
$2K |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$168.00 |
| D9630 |
|
101 |
64 |
$0.00 |
| D0431 |
|
12 |
12 |
$0.00 |