GAVITO, EMMA
NPI: 1811081680
· SOUTH PADRE ISLAND, TX 78597
· General Practice Dentistry
· NPI assigned 10/03/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
111 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$781.80 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$658.56 |
| D1208 |
Topical application of fluoride, excluding varnish |
35 |
33 |
$426.30 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$380.71 |
| D0603 |
|
19 |
19 |
$0.00 |