GOODLOE DENTAL, P.A.
NPI: 1073892576
· CANTON, MS 39046
· General Practice Dentistry
· NPI assigned 08/15/2011
Provider Details
| Authorized Official | GOODLOE, ERIKA (PRESIDENT) |
| NPI Enumeration Date | 08/15/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,546 |
$0.00 |
| 2019 |
1,339 |
$0.00 |
| 2020 |
145 |
$0.00 |
| 2021 |
193 |
$3K |
| 2022 |
651 |
$9K |
| 2023 |
92 |
$3K |
| 2024 |
100 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
430 |
340 |
$12K |
| D1120 |
Prophylaxis - child |
1,442 |
635 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
893 |
335 |
$1K |
| D1206 |
Topical application of fluoride varnish |
252 |
105 |
$822.00 |
| D0330 |
Panoramic radiographic image |
65 |
42 |
$741.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
667 |
260 |
$670.58 |
| D0120 |
Periodic oral evaluation - established patient |
317 |
133 |
$496.88 |