Dental
Braunthal, Gonzalo
Braunthal, Gonzalo was paid $39K by Medicaid between Jan 2021 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoBRAUNTHAL, GONZALO
OLMITO, TX 78575
OLMITO, TX 78575
33aNPI1306144480assigned 03/14/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$39K
24GClaims2,123
24DCodes billed7
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,424 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | 397 | $8K | |
| 2022 | 887 | $18K | |
| 2023 | 657 | $11K | |
| 2024incomplete | 182 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 535 | 514 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 613 | 595 | $8K |
| D1110 | Prophylaxis - adult | 18% | 148 | 141 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 162 | 159 | $6K |
| D0274 | Bitewings - four radiographic images | 11% | 159 | 150 | $4K |
| D0602 | 0% | 492 | 477 | $0.00 | |
| D0603 | 0% | 14 | 14 | $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.