GONZALEZ, NICOLE
NPI: 1881157782
· CIDRA, PR 00739
· General Practice Dentistry
· NPI assigned 04/09/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
172 |
$3K |
| 2022 |
96 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
180 |
171 |
$3K |
| D1110 |
Prophylaxis - adult |
39 |
37 |
$878.05 |
| D0272 |
Bitewings - two radiographic images |
22 |
22 |
$210.54 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$189.70 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$100.00 |