GOMEZ, MICHAEL
NPI: 1811037542
· HUNTINGTON PARK, CA 90255
· General Practice Dentistry
· NPI assigned 02/08/2007
$875.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$196.50 |
| 2019 |
38 |
$679.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$540.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
38 |
38 |
$335.50 |
| D1330 |
|
29 |
29 |
$0.00 |