GOH, ANNIE
NPI: 1316144918
· LOMITA, CA 90717
· General Practice Dentistry
· NPI assigned 06/28/2007
$867.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
69 |
$271.35 |
| 2019 |
39 |
$596.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$495.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
94 |
38 |
$372.60 |