LOPEZ, GISELA
NPI: 1841483039
· GARFIELD, NJ 07026
· Dentist
· NPI assigned 08/22/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
502 |
$1K |
| 2019 |
49 |
$565.50 |
| 2022 |
165 |
$290.00 |
| 2023 |
100 |
$160.00 |
| 2024 |
13 |
$40.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
72 |
72 |
$598.00 |
| D0190 |
|
254 |
225 |
$490.00 |
| D1206 |
Topical application of fluoride varnish |
76 |
76 |
$315.00 |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$299.00 |
| D1110 |
Prophylaxis - adult |
47 |
47 |
$192.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$143.00 |
| D0220 |
Intraoral - periapical first radiographic image |
135 |
129 |
$131.25 |
| D0274 |
Bitewings - four radiographic images |
53 |
53 |
$90.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
82 |
81 |
$88.00 |
| D1330 |
|
24 |
24 |
$0.00 |