GOMOLA, ALEXANDRIA
NPI: 1780357608
· SAINT JOSEPH, MI 49085
· General Practice Dentistry
· NPI assigned 07/27/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
172 |
$15K |
| 2023 |
14 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
75 |
45 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$4K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$2K |