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SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC III
SAL C ZAMMITTI DMD MMSC PLLC AND MATTHEW P GIDALY DDS PLLC III
NPI: 1740904341
· HARRISBURG, NC 28075
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/28/2022
Provider Details
| Authorized Official | GIDALY, MATTHEW (OWNER/PARTER) |
| NPI Enumeration Date | 09/28/2022 |
Related Entities
Other providers sharing the same authorized official: GIDALY, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
670 |
$17K |
| 2024 |
2,919 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
524 |
506 |
$23K |
| D1120 |
Prophylaxis - child |
708 |
690 |
$19K |
| D1206 |
Topical application of fluoride varnish |
774 |
749 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
319 |
307 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
528 |
176 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
110 |
104 |
$5K |
| D0272 |
Bitewings - two radiographic images |
249 |
239 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
209 |
198 |
$3K |
| D0240 |
|
110 |
55 |
$2K |
| D1110 |
Prophylaxis - adult |
43 |
42 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$929.25 |