Dental
Gallego, Dora
Gallego, Dora was paid $19K by Medicaid between Jan 2021 and May 2021, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoGALLEGO, DORA
POWAY, CA 92064
POWAY, CA 92064
33aNPI1164660379assigned 01/26/2009
33bProvider typeDentist
28Total paid$19K
24GClaims677
24DCodes billed10
24AFirst – last monthJan 2021 – May 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,775 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 677 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 103 | 103 | $7K |
| D1110 | Prophylaxis - adult | 33% | 75 | 75 | $6K |
| D0330 | Panoramic radiographic image | 15% | 101 | 101 | $3K |
| D0272 | Bitewings - two radiographic images | 5.8% | 95 | 94 | $1K |
| D9430 | 4.3% | 26 | 26 | $832.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 52 | 52 | $649.00 |
| D1206 | Topical application of fluoride varnish | 2.5% | 30 | 30 | $480.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $144.00 |
| D1330 | 0% | 93 | 92 | $0.00 | |
| D1310 | 0% | 90 | 90 | $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.