Dental
Goplen, Marissa
Goplen, Marissa was paid $0.00 by Medicaid between Mar 2018 and Oct 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoGOPLEN, MARISSA
MONTEVIDEO, MN 56265
MONTEVIDEO, MN 56265
33aNPI1629459102assigned 06/10/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims99
24DCodes billed4
24AFirst – last monthMar 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#336 of 368
Median peer was paid$19K
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 | 99 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 32 | 32 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 39 | 39 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 16 | 15 | $0.00 |
| D1330 | 0% | 12 | 12 | $0.00 |
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.