CA GONZALEZ DENTAL CORP
NPI: 1992427082
· LINCOLN, CA 95648
· Pediatric Dentist
· NPI assigned 09/15/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,247 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
317 |
317 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
123 |
123 |
$8K |
| D1206 |
Topical application of fluoride varnish |
287 |
287 |
$6K |
| D1310 |
|
132 |
132 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
54 |
54 |
$2K |
| D0272 |
Bitewings - two radiographic images |
70 |
70 |
$816.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
186 |
95 |
$741.15 |
| D0603 |
|
39 |
39 |
$571.00 |
| D9430 |
|
12 |
12 |
$384.00 |
| D0350 |
|
27 |
12 |
$259.20 |