GODBOLE, SHASHANK
NPI: 1013377498
· GALVESTON, TX 77551
· General Practice Dentistry
· NPI assigned 02/29/2016
$681.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
51 |
$681.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
38 |
$543.20 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$138.16 |