Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOODMAN, DAVID

NPI: 1396808028 · JACKSON HEIGHTS, NY 11372 · Pediatric Dentist · NPI assigned 12/16/2006

$58K
Total Medicaid Paid
1,894
Total Claims
1,734
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 758 $22K
2019 1,136 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 520 520 $14K
D1110 Prophylaxis - adult 221 221 $12K
D1120 Prophylaxis - child 264 264 $11K
D1351 Sealant - per tooth 239 79 $10K
D1208 Topical application of fluoride, excluding varnish 435 435 $6K
D1206 Topical application of fluoride varnish 79 79 $2K
D0330 Panoramic radiographic image 49 49 $2K
D0272 Bitewings - two radiographic images 87 87 $1K