Perez Gutierrez, Elaine

Perez Gutierrez, Elaine was paid $104K by Medicaid between May 2022 and Jul 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoPEREZ GUTIERREZ, ELAINE
AVENTURA, FL 33180

33aNPI1255901047assigned 06/25/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$104K

24GClaims10,935

24DCodes billed19

24AFirst – last monthMay 2022 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#162 of 568

Median peer was paid$24K

This provider vs. median4.3×

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
2022	1,367	$2K
2023	7,850	$85K
2024incomplete	1,718	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	1,164	1,065	$34K
D1110	Prophylaxis - adult	16%	538	471	$17K
D1120	Dental cleaning, childProphylaxis - child	15%	1,296	1,197	$16K
D0210	Intraoral - complete series of radiographic images	11%	169	151	$11K
D0150	Comprehensive oral evaluation - new or established patient	7.8%	441	394	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.3%	136	77	$8K
D1208	Topical application of fluoride, excluding varnish	4.4%	1,862	1,683	$5K
D0330	Panoramic radiographic image	2.7%	61	49	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	15	14	$604.32
D1354		<1%	97	44	$537.10
D1330		<1%	1,706	1,545	$421.73
D0140	Limited oral evaluation - problem focused	<1%	35	33	$418.29

7 more codes

D0274	Bitewings - four radiographic images	<1%	229	$381.84
D9999	Unspecified adjunctive procedure, by report	<1%	13	$325.00
D0272	Bitewings - two radiographic images	<1%	572	$202.56
D0220	Intraoral - periapical first radiographic image	<1%	1,087	$182.40
D0230	Intraoral - periapical each additional radiographic image	<1%	951	$28.00
D0191		<1%	531	$20.40
D0601		<1%	32	$5.00

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.