STEVEN GOACHER DDS PLLC
NPI: 1619561206
· ASH FLAT, AR 72513
· Dental Clinic/Center
· NPI assigned 02/24/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,221 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
237 |
237 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
225 |
225 |
$4K |
| D0272 |
Bitewings - two radiographic images |
180 |
180 |
$4K |
| D1110 |
Prophylaxis - adult |
79 |
79 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
198 |
197 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
184 |
180 |
$2K |
| D1120 |
Prophylaxis - child |
63 |
63 |
$2K |
| D0602 |
|
55 |
55 |
$270.00 |