VANESSA GORDON D. D, S,
NPI: 1902318769
· CLINTON, MD 20735
· Public Health Dentist
· NPI assigned 11/01/2017
$155K
Total Medicaid Paid
Provider Details
| Authorized Official | GORDON, VANESSA (DENTIST/OWNER) |
| NPI Enumeration Date | 11/01/2017 |
Related Entities
Other providers sharing the same authorized official: GORDON, VANESSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
273 |
$7K |
| 2019 |
152 |
$4K |
| 2020 |
83 |
$2K |
| 2021 |
101 |
$2K |
| 2022 |
38 |
$725.96 |
| 2023 |
2,115 |
$81K |
| 2024 |
1,590 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
562 |
554 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
588 |
578 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
842 |
825 |
$20K |
| D0140 |
Limited oral evaluation - problem focused |
338 |
329 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
268 |
260 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
462 |
460 |
$14K |
| D0274 |
Bitewings - four radiographic images |
259 |
257 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
510 |
497 |
$6K |
| D1120 |
Prophylaxis - child |
122 |
120 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
193 |
186 |
$2K |
| D4341 |
|
25 |
12 |
$2K |
| D1330 |
|
183 |
180 |
$1K |