Dental
Goodman, Ambrie
Goodman, Ambrie was paid $42K by Medicaid between Apr 2019 and Nov 2024, across 11 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 31% of everything it billed.
33Billing provider infoGOODMAN, AMBRIE
COLLIERVILLE, TN 38017
COLLIERVILLE, TN 38017
33aNPI1023468659assigned 06/14/2016
33bProvider typeDentist
28Total paid$42K
24GClaims1,893
24DCodes billed11
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#181 of 242
Median peer was paid$164K
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 | |
|---|---|---|---|
| 2019 | 29 | $889.04 | |
| 2020 | 159 | $1K | |
| 2021 | 45 | $0.00 | |
| 2022 | 385 | $9K | |
| 2023 | 1,083 | $25K | |
| 2024incomplete | 192 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 31% | 398 | 362 | $13K |
| D0330 | Panoramic radiographic image | 18% | 182 | 171 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 628 | 363 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 179 | 170 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 116 | 106 | $3K |
| D1206 | Topical application of fluoride varnish | 5.1% | 105 | 102 | $2K |
| D0274 | Bitewings - four radiographic images | 4.6% | 76 | 72 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 18 | 13 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.5% | 26 | 24 | $606.93 |
| D1999 | 0% | 108 | 105 | $0.00 | |
| D9630 | 0% | 57 | 56 | $0.00 |
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.