GOETTLICHER, CASEY
NPI: 1962854745
· LIVONIA, MI 48152
· Dentist
· NPI assigned 07/06/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
210 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$1K |
| D4355 |
|
16 |
16 |
$974.00 |
| D1120 |
Prophylaxis - child |
20 |
20 |
$746.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$630.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$439.00 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$383.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$350.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
28 |
$216.00 |