Dental
Jack E. Goris D.D.S.,Pc
Jack E. Goris D.D.S.,Pc was paid $135.48 by Medicaid between Apr 2018 and Apr 2018, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoJACK E. GORIS D.D.S.,PC
LOGANSPORT, IN 46947
LOGANSPORT, IN 46947
33aNPI1588708937assigned 02/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$135.48
24GClaims16
24DCodes billed1
24AFirst – last monthApr 2018 – Apr 2018
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#689 of 723
Median peer was paid$60K
This provider vs. median0.0×
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 | 16 | $135.48 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 16 | 13 | $135.48 |
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 officialGORIS, JACK (PRESIDENT)