Dental
Gray, Dominicque
Gray, Dominicque was paid $61K by Medicaid between Jan 2018 and Dec 2022, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoGRAY, DOMINICQUE
WASHINGTON, DC 20019
WASHINGTON, DC 20019
33aNPI1003103151assigned 07/08/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$61K
24GClaims2,790
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in District of Columbia
Rank by total paid#38 of 93
Median peer was paid$36K
This provider vs. median1.7×
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 | 884 | $26K | |
| 2019 | 143 | $4K | |
| 2021 | 828 | $13K | |
| 2022 | 935 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 374 | 358 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 364 | 352 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 237 | 227 | $9K |
| D1206 | Topical application of fluoride varnish | 11% | 295 | 284 | $7K |
| D0140 | Limited oral evaluation - problem focused | 11% | 293 | 274 | $7K |
| D0330 | Panoramic radiographic image | 6.9% | 135 | 130 | $4K |
| D0274 | Bitewings - four radiographic images | 6.0% | 257 | 245 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 123 | 118 | $3K |
| D0272 | Bitewings - two radiographic images | 4.0% | 85 | 80 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 369 | 350 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 17 | 12 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 16 | 16 | $697.36 |
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.