GOLDENBERG, JEFFREY
NPI: 1740232289
· WEST BLOOMFIELD, MI 48322
· Pediatric Dentist
· NPI assigned 05/16/2006
$153K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,951 |
$61K |
| 2019 |
1,997 |
$62K |
| 2020 |
1,030 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,251 |
1,248 |
$53K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,244 |
1,241 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
1,017 |
1,013 |
$35K |
| D0272 |
Bitewings - two radiographic images |
421 |
420 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
496 |
495 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
504 |
479 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$3K |