GRAY, PETER
NPI: 1861494585
· INDEPENDENCE, MO 64055
· General Practice Dentistry
· NPI assigned 08/12/2005
$565.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$565.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$318.00 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$247.00 |