Dental
Ken Goodwin, DMD, PA
Ken Goodwin, DMD, PA was paid $225K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoKEN GOODWIN, DMD, PA
BOONEVILLE, MS 38829
BOONEVILLE, MS 38829
33aNPI1548673320assigned 06/09/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$225K
24GClaims9,204
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#120 of 379
Median peer was paid$78K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 2,348 | $30K | |
| 2019 | 1,287 | $41K | |
| 2020 | 830 | $20K | |
| 2021 | 1,146 | $30K | |
| 2022 | 1,540 | $44K | |
| 2023 | 1,166 | $36K | |
| 2024incomplete | 887 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 2,398 | 2,000 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,264 | 1,201 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 2,331 | 1,951 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 305 | 145 | $25K |
| D0274 | Bitewings - four radiographic images | 9.8% | 1,055 | 854 | $22K |
| D0330 | Panoramic radiographic image | 7.8% | 579 | 452 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 764 | 447 | $14K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 352 | 260 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 144 | 75 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $74.97 |
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 officialGOODWIN, KEN (OWNER)