Dental
Goettlicher, Casey
Goettlicher, Casey was paid $5K by Medicaid between Jan 2018 and Jul 2018, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoGOETTLICHER, CASEY
LIVONIA, MI 48152
LIVONIA, MI 48152
33aNPI1962854745assigned 07/06/2016
33bProvider typeDentist
28Total paid$5K
24GClaims210
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#688 of 1,033
Median peer was paid$15K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 210 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 57 | 57 | $1K |
| D4355 | 19% | 16 | 16 | $974.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 20 | 20 | $746.20 |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 27 | 27 | $630.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 14 | 14 | $439.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 30 | 30 | $383.00 |
| D0272 | Bitewings - two radiographic images | 7.0% | 15 | 15 | $350.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 31 | 28 | $216.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.