GODAWA, ANDREA
NPI: 1568843175
· HARTFORD, MI 49057
· Dentist
· NPI assigned 06/10/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,498 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
99 |
62 |
$11K |
| D1120 |
Prophylaxis - child |
266 |
266 |
$10K |
| D1351 |
Sealant - per tooth |
300 |
84 |
$8K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
84 |
57 |
$7K |
| D1206 |
Topical application of fluoride varnish |
297 |
297 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
136 |
136 |
$4K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$3K |
| D0191 |
|
191 |
191 |
$3K |
| D0274 |
Bitewings - four radiographic images |
61 |
61 |
$2K |