Dental
Goshen Family Dentistry, LTD.
Goshen Family Dentistry, LTD. was paid $171K by Medicaid between Jan 2018 and Nov 2020, across 15 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoGOSHEN FAMILY DENTISTRY, LTD.
GOSHEN, OH 45122
GOSHEN, OH 45122
33aNPI1710189055assigned 05/31/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$171K
24GClaims6,007
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#257 of 870
Median peer was paid$40K
This provider vs. median4.2×
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 | 3,077 | $86K | |
| 2019 | 2,417 | $73K | |
| 2020 | 513 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 30% | 1,128 | 344 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 655 | 332 | $30K |
| D1110 | Prophylaxis - adult | 16% | 936 | 858 | $28K |
| D0330 | Panoramic radiographic image | 8.3% | 355 | 325 | $14K |
| D0274 | Bitewings - four radiographic images | 6.9% | 681 | 632 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 724 | 680 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 431 | 377 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 474 | 447 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 213 | 196 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 41 | 30 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 211 | 193 | $835.00 |
| D0350 | <1% | 63 | 57 | $689.36 |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialBRENNECKE, BRADLEY (MANAGER)