GOODMAN, MICHAEL
NPI: 1043275548
· WILLIMANTIC, CT 06226
· Pediatric Dentist
· NPI assigned 04/18/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
183 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
86 |
83 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
61 |
57 |
$0.00 |
| D1120 |
Prophylaxis - child |
36 |
34 |
$0.00 |