Medicaid Provider Spending

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

GOELZ, CHRISTOPHER

NPI: 1801243670 · NEWCASTLE, OK 73065 · General Practice Dentistry · NPI assigned 05/20/2016

$7K
Total Medicaid Paid
369
Total Claims
355
Beneficiary Records
9
Codes Billed
2023-06
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 369 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 38 38 $1K
D1208 Topical application of fluoride, excluding varnish 94 91 $1K
D1110 Prophylaxis - adult 19 19 $1K
D0274 Bitewings - four radiographic images 30 29 $1K
D0120 Periodic oral evaluation - established patient 34 33 $952.05
D0220 Intraoral - periapical first radiographic image 53 52 $640.26
D0230 Intraoral - periapical each additional radiographic image 52 45 $563.99
D0603 35 34 $0.00
D0602 14 14 $0.00