PHASE 3 LLC
NPI: 1164920377
· GOLDEN, CO 80401
· Dental Clinic/Center
· NPI assigned 01/23/2018
Provider Details
| Authorized Official | GOERINGER, BRIAN (DENTIST/ OWNER) |
| NPI Enumeration Date | 01/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$2K |
| 2023 |
185 |
$13K |
| 2024 |
842 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
476 |
472 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
221 |
221 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
101 |
101 |
$5K |
| D7250 |
|
23 |
14 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
82 |
82 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
111 |
111 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$1K |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$629.40 |