GOODHUE FAMILY DENTAL PRACTICE
NPI: 1386721454
· RED WING, MN 55066
· Dentist
· NPI assigned 11/01/2006
$53.12
Total Medicaid Paid
Provider Details
| Authorized Official | STEGER, KURT (DENTIST/CEO/TREASURER) |
| NPI Enumeration Date | 11/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
85 |
$53.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$27.70 |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$25.42 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$0.00 |