Henry, Goly

Henry, Goly was paid $46K by Medicaid between Jan 2018 and Aug 2023, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 28% of everything it billed.

33Billing provider infoHENRY, GOLY
MARKS, MS 38646

33aNPI1689727554assigned 01/22/2007

33bProvider typeDentist

28Total paid$46K

24GClaims2,411

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#146 of 261

Median peer was paid$64K

This provider vs. median0.7×

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	1,370	$18K
2019	369	$10K
2020	142	$4K
2021	125	$3K
2022	311	$8K
2023	94	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	28%	438	283	$13K
D0150	Comprehensive oral evaluation - new or established patient	17%	411	200	$8K
D0330	Panoramic radiographic image	16%	226	178	$7K
D1120	Dental cleaning, childProphylaxis - child	15%	370	229	$7K
D1208	Topical application of fluoride, excluding varnish	14%	636	398	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.9%	110	101	$3K
D0272	Bitewings - two radiographic images	2.3%	125	54	$1K
D1206	Topical application of fluoride varnish	1.4%	27	25	$657.62
D0220	Intraoral - periapical first radiographic image	<1%	68	39	$427.16

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.