Godawa, Andrea

Godawa, Andrea was paid $56K by Medicaid between Jan 2018 and Mar 2018, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoGODAWA, ANDREA
HARTFORD, MI 49057

33aNPI1568843175assigned 06/10/2015

33bProvider typeDentist

28Total paid$56K

24GClaims1,498

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#342 of 1,033

Median peer was paid$15K

This provider vs. median3.7×

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	1,498	$56K

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	20%	99	62	$11K
D1120	Dental cleaning, childProphylaxis - child	19%	266	266	$10K
D1351	Sealant - per tooth	15%	300	84	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	84	57	$7K
D1206	Topical application of fluoride varnish	13%	297	297	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.6%	136	136	$4K
D1110	Prophylaxis - adult	5.6%	64	64	$3K
D0191		4.7%	191	191	$3K
D0274	Bitewings - four radiographic images	3.7%	61	61	$2K

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.