Dental
Sandra J Gong DDS Dental Corp.
Sandra J Gong DDS Dental Corp. was paid $1.47M by Medicaid between Jan 2018 and Dec 2023, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSANDRA J GONG DDS DENTAL CORP.
ARVIN, CA 93203
ARVIN, CA 93203
33aNPI1285775502assigned 02/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.47M
24GClaims50,719
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#406 of 2,668
Median peer was paid$173K
This provider vs. median8.5×
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 | 12,321 | $305K | |
| 2019 | 10,724 | $305K | |
| 2020 | 6,958 | $184K | |
| 2021 | 8,383 | $233K | |
| 2022 | 6,090 | $214K | |
| 2023 | 6,243 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 5,794 | 5,785 | $282K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 5,548 | 5,541 | $192K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.7% | 2,210 | 1,296 | $143K |
| D1110 | Prophylaxis - adult | 9.0% | 1,600 | 1,596 | $133K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 2,098 | 2,097 | $129K |
| D1351 | Sealant - per tooth | 7.7% | 5,112 | 1,524 | $114K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 1,965 | 1,960 | $91K |
| D9430 | 3.8% | 1,787 | 1,724 | $56K | |
| D2140 | 3.8% | 1,063 | 722 | $56K | |
| D0274 | Bitewings - four radiographic images | 3.1% | 2,167 | 2,161 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 4,549 | 4,544 | $44K |
| D1206 | Topical application of fluoride varnish | 2.6% | 2,130 | 2,128 | $39K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 9,257 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 3,046 | $36K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.6% | 49 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 408 | $23K |
| D0272 | Bitewings - two radiographic images | 1.4% | 1,775 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 81 | $4K |
| D2160 | <1% | 37 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 26 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $832.65 |
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 officialGONG, SANDRA (CHIEF EXECUTIVE OFFICER)