Dental
Gequillana, Glenn
Gequillana, Glenn was paid $179K by Medicaid between Jan 2018 and Sep 2021, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoGEQUILLANA, GLENN
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1154484616assigned 12/18/2006
33bProvider typeDentist
28Total paid$179K
24GClaims9,768
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#48 of 185
Median peer was paid$28K
This provider vs. median6.4×
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 | 2,747 | $48K | |
| 2019 | 2,592 | $45K | |
| 2020 | 1,991 | $30K | |
| 2021 | 2,438 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,359 | 1,275 | $26K |
| D1110 | Prophylaxis - adult | 12% | 952 | 835 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,532 | 1,448 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,776 | 1,655 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 427 | 291 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 471 | 290 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 743 | 637 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 253 | 123 | $9K |
| D0274 | Bitewings - four radiographic images | 4.8% | 608 | 524 | $9K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 462 | 405 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 128 | 118 | $4K |
| D0330 | Panoramic radiographic image | 2.4% | 132 | 110 | $4K |
4 more codes
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.