Goodwin, Ken

Goodwin, Ken was paid $267K by Medicaid between Jan 2018 and Sep 2022, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoGOODWIN, KEN
BOONEVILLE, MS 38829

33aNPI1902992043assigned 10/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$267K

24GClaims7,813

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#105 of 379

Median peer was paid$78K

This provider vs. median3.4×

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	4,026	$138K
2019	1,557	$62K
2020	1,284	$41K
2021	747	$20K
2022	199	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	678	344	$64K
D0150	Comprehensive oral evaluation - new or established patient	19%	1,432	1,325	$51K
D1120	Dental cleaning, childProphylaxis - child	18%	1,831	1,696	$49K
D1208	Topical application of fluoride, excluding varnish	11%	1,882	1,720	$28K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.8%	369	222	$26K
D0274	Bitewings - four radiographic images	8.6%	880	800	$23K
D0330	Panoramic radiographic image	4.7%	312	294	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.5%	242	241	$7K
D0140	Limited oral evaluation - problem focused	1.7%	115	110	$4K
D1351	Sealant - per tooth	<1%	57	13	$2K
D0220	Intraoral - periapical first radiographic image	<1%	15	14	$132.60

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.