Dental
Gaston Family Health Services, INC.
Gaston Family Health Services, INC. was paid $15.41M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 11% of everything it billed.
33Billing provider infoGASTON FAMILY HEALTH SERVICES, INC.
GASTONIA, NC 28052
GASTONIA, NC 28052
33aNPI1154662369assigned 03/13/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$15.41M
24GClaims720,516
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#3 of 756
Median peer was paid$121K
This provider vs. median127×
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 | 67,335 | $1.63M | |
| 2019 | 102,604 | $2.15M | |
| 2020 | 70,019 | $1.58M | |
| 2021 | 111,693 | $2.22M | |
| 2022 | 119,696 | $2.34M | |
| 2023 | 129,018 | $2.63M | |
| 2024incomplete | 120,151 | $2.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 18,097 | 10,888 | $1.74M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 66,499 | 59,054 | $1.63M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 66,168 | 59,687 | $1.56M |
| D1206 | Topical application of fluoride varnish | 8.8% | 96,211 | 85,661 | $1.36M |
| D1351 | Sealant - per tooth | 7.7% | 93,097 | 18,488 | $1.18M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 15,538 | 9,277 | $1.10M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 7,576 | 1,660 | $821K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 22,514 | 19,306 | $811K |
| D1110 | Prophylaxis - adult | 5.1% | 23,319 | 20,984 | $791K |
| D0330 | Panoramic radiographic image | 5.0% | 19,293 | 17,063 | $772K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 46,741 | 40,940 | $623K |
| D0272 | Bitewings - two radiographic images | 3.8% | 38,623 | 34,005 | $583K |
29 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 11,058 | $445K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 8,729 | $443K |
| D0274 | Bitewings - four radiographic images | 2.8% | 15,627 | $425K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 12,326 | $393K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 30,492 | $343K |
| D9420 | 1.5% | 2,887 | $234K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 250 | $27K |
| D0160 | <1% | 519 | $26K | |
| 99199 | Unlisted special service, procedure or report | <1% | 4,614 | $26K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 345 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 962 | $17K |
| D1354 | <1% | 2,654 | $14K | |
| D4355 | <1% | 171 | $10K | |
| D0270 | <1% | 854 | $7K | |
| D4346 | <1% | 133 | $5K | |
| D7111 | <1% | 116 | $2K | |
| D2332 | <1% | 21 | $2K | |
| D9110 | <1% | 43 | $1K | |
| D2330 | <1% | 16 | $1K | |
| D2331 | <1% | 15 | $1K | |
| D0170 | <1% | 14 | $355.16 | |
| D9311 | 0% | 17 | $0.00 | |
| D3120 | 0% | 23 | $0.00 | |
| D1999 | 0% | 89,091 | $0.00 | |
| D9996 | 0% | 9,572 | $0.00 | |
| D0191 | 0% | 4,387 | $0.00 | |
| D0350 | 0% | 11,659 | $0.00 | |
| D0190 | 0% | 99 | $0.00 | |
| D9993 | 0% | 146 | $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 officialEDWARDS, KAREN (DENTAL BUSINESS ADMINISTRATOR)
Parent organizationGASTON FAMILY HEALTH SERVICES, INC