GONZALEZ, JUAN
NPI: 1881255768
· HUMBLE, TX 77346
· Dentist
· NPI assigned 06/22/2019
$232.82
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$232.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
31 |
29 |
$102.92 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$102.90 |
| D0603 |
|
28 |
28 |
$27.00 |