MOORE, GWENDOLYN
NPI: 1952574964
· CLEVELAND, MS 38732
· Dentist
· NPI assigned 04/10/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
14 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$740.92 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$481.76 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$408.72 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$375.75 |