Goldstein, Raphael

Goldstein, Raphael was paid $13K by Medicaid between Nov 2019 and Nov 2019, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 48% of everything it billed.

33Billing provider infoGOLDSTEIN, RAPHAEL
NOVI, MI 48375

33aNPI1417934910assigned 12/27/2005

33bProvider typeDentist

28Total paid$13K

24GClaims297

24DCodes billed8

24AFirst – last monthNov 2019 – Nov 2019

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#538 of 1,033

Median peer was paid$15K

This provider vs. median0.9×

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
2019	297	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	48%	49	18	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	57	57	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	38	38	$2K
D1208	Topical application of fluoride, excluding varnish	8.7%	46	46	$1K
D1110	Prophylaxis - adult	8.6%	21	21	$1K
D0274	Bitewings - four radiographic images	4.8%	17	17	$629.00
D0220	Intraoral - periapical first radiographic image	3.6%	28	28	$476.00
D0230	Intraoral - periapical each additional radiographic image	2.8%	41	24	$369.00

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.