Dental
Goodson, James
Goodson, James was paid $75K by Medicaid between Sep 2022 and Sep 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoGOODSON, JAMES
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1912636457assigned 06/09/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims2,218
24DCodes billed12
24AFirst – last monthSep 2022 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#167 of 331
Median peer was paid$75K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 722 | $24K | |
| 2023 | 1,496 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 335 | 335 | $17K |
| D0140 | Limited oral evaluation - problem focused | 15% | 290 | 290 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 252 | 252 | $10K |
| D0274 | Bitewings - four radiographic images | 13% | 355 | 355 | $9K |
| D0330 | Panoramic radiographic image | 11% | 185 | 185 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 81 | 63 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 231 | 231 | $5K |
| D1206 | Topical application of fluoride varnish | 4.3% | 197 | 197 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 226 | 226 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 39 | 39 | $673.32 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $455.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 14 | $226.80 |
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.