Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOODIS ENDODONTICS PC

NPI: 1629291711 · GROSSE POINTE WOODS, MI 48236 · Endodontist · NPI assigned 04/10/2007

$32K
Total Medicaid Paid
269
Total Claims
242
Beneficiaries
4
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOODIS, GEORGE (OWNER)
NPI Enumeration Date04/10/2007

Related Entities

Other providers sharing the same authorized official: GOODIS, GEORGE

ProviderCityStateTotal Paid
STERLING ENDODONTICS PC STERLING HGTS MI $111K
BAY POINTE ENDODONTICS PC NEW BALTIMORE MI $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 169 $27K
2024 100 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 27 24 $22K
D0140 Limited oral evaluation - problem focused 90 83 $7K
D0220 Intraoral - periapical first radiographic image 110 98 $2K
D0230 Intraoral - periapical each additional radiographic image 42 37 $665.88