CHARLES MEYER GOOSS, DMD, P.C.
NPI: 1801030309
· YAKIMA, WA 98901
· Dentist
· NPI assigned 04/28/2009
$366K
Total Medicaid Paid
Provider Details
| Authorized Official | GOOSS, CHARLES (PRACTICE OWNER) |
| NPI Enumeration Date | 04/28/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,833 |
$302K |
| 2019 |
814 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
397 |
363 |
$140K |
| D5120 |
|
296 |
272 |
$105K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,585 |
237 |
$74K |
| D5750 |
|
164 |
161 |
$20K |
| D5751 |
|
82 |
81 |
$10K |
| D7310 |
|
69 |
29 |
$10K |
| D5212 |
|
25 |
24 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$347.76 |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$124.20 |