Dental
Goose River Dental Assoc., PC
Goose River Dental Assoc., PC was paid $63K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.
33Billing provider infoGOOSE RIVER DENTAL ASSOC., PC
MAYVILLE, ND 58257
MAYVILLE, ND 58257
33aNPI1164522306assigned 09/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$63K
24GClaims2,335
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in North Dakota
Rank by total paid#14 of 40
Median peer was paid$9K
This provider vs. median7.3×
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 | 383 | $9K | |
| 2019 | 326 | $8K | |
| 2020 | 389 | $10K | |
| 2021 | 382 | $9K | |
| 2022 | 339 | $10K | |
| 2023 | 477 | $15K | |
| 2024incomplete | 39 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24% | 721 | 668 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 604 | 556 | $15K |
| D1110 | Prophylaxis - adult | 20% | 294 | 259 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 216 | 202 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 375 | 335 | $7K |
| D0274 | Bitewings - four radiographic images | 2.0% | 40 | 36 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 29 | 28 | $1K |
| D0272 | Bitewings - two radiographic images | 1.9% | 40 | 40 | $1K |
| D0330 | Panoramic radiographic image | 1.4% | 16 | 15 | $865.08 |
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.
From NPPES
Who's on the registration
Authorized officialLAUF, ROBERT (OWNER)