Dental
Roel Gonzalez, DMD, PA
Roel Gonzalez, DMD, PA was paid $638K by Medicaid between Aug 2020 and Aug 2022, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoROEL GONZALEZ, DMD, PA
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1013431238assigned 07/30/2017
33bProvider typeDentist
28Total paid$638K
24GClaims28,120
24DCodes billed21
24AFirst – last monthAug 2020 – Aug 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#292 of 1,678
Median peer was paid$35K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 1,820 | $57K | |
| 2021 | 15,385 | $396K | |
| 2022 | 10,915 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 966 | 166 | $137K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 651 | 616 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,184 | 2,050 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,558 | 2,413 | $67K |
| D1206 | Topical application of fluoride varnish | 5.8% | 2,805 | 2,640 | $37K |
| D0272 | Bitewings - two radiographic images | 5.6% | 1,955 | 1,846 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 3,215 | 3,008 | $31K |
| D9248 | 4.5% | 252 | 240 | $28K | |
| D1110 | Prophylaxis - adult | 4.4% | 573 | 538 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 3,182 | 2,832 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 254 | 132 | $24K |
| D1351 | Sealant - per tooth | 3.5% | 1,179 | 174 | $22K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.4% | 569 | $15K |
| D0330 | Panoramic radiographic image | 2.0% | 504 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 311 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 67 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 58 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | $525.46 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | $220.50 |
| D1999 | 0% | 2,815 | $0.00 | |
| D0603 | 0% | 3,979 | $0.00 |
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 officialGONZALEZ, ROEL (PEDIATRIC DENTIST)