Godoy, Ariana

Godoy, Ariana was paid $7K by Medicaid between Feb 2019 and Sep 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoGODOY, ARIANA
COPIAGUE, NY 11726

33aNPI1043748593assigned 05/29/2017

33bProvider typeDentist

28Total paid$7K

24GClaims520

24DCodes billed7

24AFirst – last monthFeb 2019 – Sep 2019

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,240 of 1,649

Median peer was paid$49K

This provider vs. median0.1×

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	520	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	49	49	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	87	87	$1K
D0230	Intraoral - periapical each additional radiographic image	17%	141	141	$1K
D0220	Intraoral - periapical first radiographic image	14%	145	145	$905.77
D1208	Topical application of fluoride, excluding varnish	11%	64	64	$703.80
D1120	Dental cleaning, childProphylaxis - child	8.5%	20	20	$559.32
D0274	Bitewings - four radiographic images	3.3%	14	14	$215.60

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.