Dental
Goodwine, Clifford
Goodwine, Clifford was paid $1.24M by Medicaid between Aug 2023 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoGOODWINE, CLIFFORD
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1679130983assigned 05/22/2019
33bProvider typePediatric Dentist
28Total paid$1.24M
24GClaims29,031
24DCodes billed25
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#39 of 134
Median peer was paid$467K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2023 | 8,591 | $364K | |
| 2024incomplete | 20,440 | $872K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 4,029 | 3,991 | $242K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 2,225 | 1,184 | $156K |
| D0330 | Panoramic radiographic image | 10% | 1,732 | 1,711 | $124K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 2,328 | 2,320 | $76K |
| D1351 | Sealant - per tooth | 5.8% | 2,975 | 644 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 821 | 455 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 2,391 | 2,351 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 3,416 | 3,371 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 1,029 | 679 | $58K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.9% | 404 | 185 | $48K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 1,102 | 1,074 | $42K |
| D1110 | Prophylaxis - adult | 3.2% | 668 | 659 | $40K |
13 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 477 | $40K |
| D0272 | Bitewings - two radiographic images | 3.1% | 1,748 | $39K |
| D0274 | Bitewings - four radiographic images | 1.9% | 658 | $24K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 430 | $19K |
| D2330 | 1.0% | 229 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 920 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 995 | $9K |
| D2332 | <1% | 102 | $9K | |
| D2331 | <1% | 97 | $7K | |
| D2335 | <1% | 59 | $6K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 84 | $6K |
| D9420 | <1% | 67 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 45 | $843.75 |
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.