Dental
Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. INC.
Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. INC. was paid $249K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoJEFFREY S. MCCOY SUSAN FOWLER GOODWIN D.D.S. INC.
LOGAN, WV 25601
LOGAN, WV 25601
33aNPI1245447200assigned 05/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$249K
24GClaims9,296
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#46 of 193
Median peer was paid$44K
This provider vs. median5.7×
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 | 3,689 | $99K | |
| 2019 | 3,455 | $94K | |
| 2020 | 1,226 | $29K | |
| 2021 | 252 | $7K | |
| 2024incomplete | 674 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 1,934 | 324 | $51K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 885 | 859 | $31K |
| D0330 | Panoramic radiographic image | 12% | 540 | 517 | $30K |
| D1110 | Prophylaxis - adult | 11% | 613 | 591 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,100 | 1,063 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,389 | 1,339 | $25K |
| D0272 | Bitewings - two radiographic images | 9.1% | 1,075 | 1,038 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 594 | 546 | $7K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 191 | 167 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 199 | 183 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 47 | 36 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 48 | 27 | $4K |
4 more codes
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 officialMCCOY, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Premier Healthcare of Shenandoah, P.C. | Shenandoah, IA | $204K |
| Millennium Chiropractic PC | Shenandoah, IA | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.