Goldberg, David

Goldberg, David was paid $9K by Medicaid between Jan 2018 and Apr 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoGOLDBERG, DAVID
BELLEROSE, NY 11426

33aNPI1962492967assigned 10/21/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims545

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,592 of 2,184

Median peer was paid$54K

This provider vs. median0.2×

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	545	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	72	72	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	112	112	$2K
D0274	Bitewings - four radiographic images	13%	65	65	$1K
D0220	Intraoral - periapical first radiographic image	11%	108	108	$1K
D0210	Intraoral - complete series of radiographic images	10%	41	41	$949.70
D0230	Intraoral - periapical each additional radiographic image	9.7%	104	104	$916.20
D1120	Dental cleaning, childProphylaxis - child	4.3%	14	14	$404.30
D1208	Topical application of fluoride, excluding varnish	3.4%	29	29	$319.40

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.