GORDON DENTAL ASSOCIATES, LTD.
NPI: 1932372547
· OLYMPIA FIELDS, IL 60461
· General Practice Dentistry
· NPI assigned 04/04/2008
$813K
Total Medicaid Paid
Provider Details
| Authorized Official | GORDON, RONNIE (BUSINESS DEVELOPMENT) |
| NPI Enumeration Date | 04/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,052 |
$128K |
| 2019 |
8,455 |
$284K |
| 2020 |
2,303 |
$77K |
| 2021 |
475 |
$15K |
| 2022 |
2,313 |
$71K |
| 2023 |
5,417 |
$131K |
| 2024 |
4,626 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
6,365 |
6,344 |
$269K |
| D0120 |
Periodic oral evaluation - established patient |
8,517 |
8,487 |
$259K |
| D1206 |
Topical application of fluoride varnish |
6,366 |
6,345 |
$163K |
| D1351 |
Sealant - per tooth |
3,432 |
1,062 |
$122K |
| D0601 |
|
1,904 |
1,900 |
$0.00 |
| D0603 |
|
858 |
858 |
$0.00 |
| D0602 |
|
199 |
197 |
$0.00 |