Medicaid Provider Spending

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

DENTAL CENTER OF GOSHEN PLLC

NPI: 1013285766 · GOSHEN, IN 46526 · Dentist · NPI assigned 12/09/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$3.23M
Total Medicaid Paid
111,392
Total Claims
89,632
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (INSURANCE DIRECTOR)
NPI Enumeration Date12/09/2011

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K
DENTAL ONE ASSOCIATES (MANASSAS) P.C. MANASSAS VA $447.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,574 $42K
2019 15,469 $479K
2020 13,610 $405K
2021 20,909 $674K
2022 20,917 $644K
2023 13,393 $412K
2024 14,520 $573K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12,152 11,167 $336K
D0120 Periodic oral evaluation - established patient 15,081 13,931 $300K
D1351 Sealant - per tooth 12,318 2,359 $297K
D1206 Topical application of fluoride varnish 16,013 14,778 $295K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,679 3,272 $282K
D1110 Prophylaxis - adult 6,235 5,782 $267K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,454 3,197 $212K
D0272 Bitewings - two radiographic images 11,018 10,153 $207K
D7140 Extraction, erupted tooth or exposed root 2,207 1,545 $163K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6,215 5,422 $157K
D0210 Intraoral - complete series of radiographic images 2,944 2,722 $146K
D0150 Comprehensive oral evaluation - new or established patient 4,607 4,189 $138K
D2930 Prefabricated stainless steel crown - primary tooth 874 674 $116K
D0140 Limited oral evaluation - problem focused 2,764 2,505 $90K
D0330 Panoramic radiographic image 3,009 2,772 $66K
D0274 Bitewings - four radiographic images 1,665 1,495 $45K
D4346 190 163 $28K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 269 202 $25K
D0220 Intraoral - periapical first radiographic image 1,985 1,722 $23K
D0240 1,161 486 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 126 105 $10K
D2940 58 32 $3K
D1354 241 48 $3K
D2332 16 13 $2K
D2330 19 14 $2K
D0270 63 58 $1K
D0230 Intraoral - periapical each additional radiographic image 111 44 $651.04
D3120 598 488 $0.00
D1999 320 294 $0.00