LAYNE GODZINA DDS PLLC
NPI: 1679183479
· MANISTEE, MI 49660
· Dental Clinic/Center
· NPI assigned 08/06/2020
Provider Details
| Authorized Official | GODZINA, LAYNE (OWNER) |
| NPI Enumeration Date | 08/06/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
70 |
$452.00 |
| 2021 |
386 |
$7K |
| 2022 |
479 |
$13K |
| 2023 |
193 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
268 |
268 |
$10K |
| D1206 |
Topical application of fluoride varnish |
365 |
365 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
299 |
299 |
$7K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$275.00 |
| D1999 |
|
160 |
156 |
$0.00 |