Goldstein, Evan

Goldstein, Evan was paid $219K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoGOLDSTEIN, EVAN
ALBANY, NY 12205

33aNPI1598742173assigned 12/27/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$219K

24GClaims9,886

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#581 of 2,184

Median peer was paid$54K

This provider vs. median4.1×

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	1,675	$48K
2019	1,749	$38K
2020	995	$19K
2021	1,324	$27K
2022	1,288	$27K
2023	1,667	$34K
2024incomplete	1,188	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	2,626	2,626	$97K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,085	2,085	$40K
D0274	Bitewings - four radiographic images	7.8%	884	884	$17K
D0220	Intraoral - periapical first radiographic image	7.2%	1,750	1,725	$16K
D0150	Comprehensive oral evaluation - new or established patient	6.2%	656	656	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.2%	166	121	$11K
D0210	Intraoral - complete series of radiographic images	3.6%	204	202	$8K
D0230	Intraoral - periapical each additional radiographic image	2.9%	1,112	1,109	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.3%	65	51	$3K
D0140	Limited oral evaluation - problem focused	<1%	210	200	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	13	12	$1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	20	15	$1K

3 more codes

D1208	Topical application of fluoride, excluding varnish	<1%	56	$612.25
D1120	Dental cleaning, child	<1%	17	$414.56
D0330	Panoramic radiographic image	<1%	22	$149.61

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.