Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAYNE GODZINA DDS PLLC

NPI: 1679183479 · MANISTEE, MI 49660 · Dental Clinic/Center · NPI assigned 08/06/2020

$26K
Total Medicaid Paid
1,128
Total Claims
1,124
Beneficiaries
6
Codes Billed
2020-09
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGODZINA, LAYNE (OWNER)
NPI Enumeration Date08/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 70 $452.00
2021 386 $7K
2022 479 $13K
2023 193 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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