Dental
Goldstein, Sarah
Goldstein, Sarah was paid $16K by Medicaid between Mar 2021 and Apr 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoGOLDSTEIN, SARAH
AGOURA HILLS, CA 91301
AGOURA HILLS, CA 91301
33aNPI1245586981assigned 07/31/2012
33bProvider typeDentist
28Total paid$16K
24GClaims683
24DCodes billed10
24AFirst – last monthMar 2021 – Apr 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,804 of 2,314
Median peer was paid$185K
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 | |
|---|---|---|---|
| 2021 | 683 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 93 | 93 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 97 | 97 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 50 | 49 | $2K |
| D0272 | Bitewings - two radiographic images | 9.9% | 100 | 99 | $2K |
| D0330 | Panoramic radiographic image | 9.9% | 42 | 42 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 30 | 12 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 24 | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 103 | 102 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 96 | 96 | $780.00 |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 48 | 48 | $734.00 |
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.