GORMAN, JONATHAN
NPI: 1912164989
· DANBURY, CT 06810
· Dentist
· NPI assigned 05/19/2008
$390.62
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
46 |
$390.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$173.52 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
17 |
$143.70 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$73.40 |