GOERGEN, LACEY
NPI: 1578000105
· GLENDALE, CO 80246
· Pediatric Dentist
· NPI assigned 01/20/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
57 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$503.64 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$411.66 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$239.82 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$163.41 |