GOOSE RIVER DENTAL ASSOC., PC
NPI: 1164522306
· MAYVILLE, ND 58257
· General Practice Dentistry
· NPI assigned 09/25/2006
Provider Details
| Authorized Official | LAUF, ROBERT (OWNER) |
| NPI Enumeration Date | 09/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
383 |
$9K |
| 2019 |
326 |
$8K |
| 2020 |
389 |
$10K |
| 2021 |
382 |
$9K |
| 2022 |
339 |
$10K |
| 2023 |
477 |
$15K |
| 2024 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
721 |
668 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
604 |
556 |
$15K |
| D1110 |
Prophylaxis - adult |
294 |
259 |
$13K |
| D1120 |
Prophylaxis - child |
216 |
202 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
375 |
335 |
$7K |
| D0274 |
Bitewings - four radiographic images |
40 |
36 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
28 |
$1K |
| D0272 |
Bitewings - two radiographic images |
40 |
40 |
$1K |
| D0330 |
Panoramic radiographic image |
16 |
15 |
$865.08 |