Dental
Gomez, Jorge
Gomez, Jorge was paid $8K by Medicaid between Feb 2020 and Nov 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.
33Billing provider infoGOMEZ, JORGE
WOODHAVEN, NY 11421
WOODHAVEN, NY 11421
33aNPI1144203878assigned 11/28/2005
33bProvider typeDentist
28Total paid$8K
24GClaims386
24DCodes billed4
24AFirst – last monthFeb 2020 – Nov 2022
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,210 of 1,649
Median peer was paid$49K
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 | |
|---|---|---|---|
| 2020 | 55 | $1K | |
| 2021 | 207 | $4K | |
| 2022 | 124 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 65% | 135 | 135 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 116 | 115 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 49 | 49 | $954.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.8% | 86 | 86 | $671.63 |
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.