Goergen, Lacey

Goergen, Lacey was paid $1K by Medicaid between Nov 2022 and Nov 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoGOERGEN, LACEY
GLENDALE, CO 80246

33aNPI1578000105assigned 01/20/2017

33bProvider typePediatric Dentist

28Total paid$1K

24GClaims57

24DCodes billed4

24AFirst – last monthNov 2022 – Nov 2022

Compared with peers

Next to other Pediatric Dentist providers in Colorado

Rank by total paid#171 of 177

Median peer was paid$122K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2022	57	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	12	12	$503.64
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	18	18	$411.66
D1206	Topical application of fluoride varnish	18%	14	14	$239.82
D0220	Intraoral - periapical first radiographic image	12%	13	13	$163.41

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.