HERNANDEZ-GIL, JOSE
NPI: 1740416379
· WEST VALLEY CITY, UT 84120
· General Practice Dentistry
· NPI assigned 06/10/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
139 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
22 |
22 |
$808.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
22 |
$465.93 |
| D1206 |
Topical application of fluoride varnish |
22 |
22 |
$388.27 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$358.12 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$310.96 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
22 |
$296.58 |