Dental
Goodman, David
Goodman, David was paid $58K by Medicaid between Jan 2018 and Dec 2019, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoGOODMAN, DAVID
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1396808028assigned 12/16/2006
33bProvider typePediatric Dentist
28Total paid$58K
24GClaims1,894
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#347 of 514
Median peer was paid$196K
This provider vs. median0.3×
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 | 758 | $22K | |
| 2019 | 1,136 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 520 | 520 | $14K |
| D1110 | Prophylaxis - adult | 21% | 221 | 221 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 264 | 264 | $11K |
| D1351 | Sealant - per tooth | 17% | 239 | 79 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 435 | 435 | $6K |
| D1206 | Topical application of fluoride varnish | 3.9% | 79 | 79 | $2K |
| D0330 | Panoramic radiographic image | 3.2% | 49 | 49 | $2K |
| D0272 | Bitewings - two radiographic images | 2.4% | 87 | 87 | $1K |
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.