Pardo, Gustavo

Pardo, Gustavo was paid $40K by Medicaid between Mar 2022 and Sep 2022, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoPARDO, GUSTAVO
LABELLE, FL 33935

33aNPI1306254156assigned 07/24/2014

33bProvider typeDentist

28Total paid$40K

24GClaims2,200

24DCodes billed14

24AFirst – last monthMar 2022 – Sep 2022

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#241 of 542

Median peer was paid$25K

This provider vs. median1.6×

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	2,200	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	23%	223	223	$9K
D2391	Resin-based composite - one surface, posterior, primary or permanent	17%	148	132	$7K
D1110	Prophylaxis - adult	15%	121	121	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	256	256	$6K
D0150	Comprehensive oral evaluation - new or established patient	14%	138	138	$5K
D0274	Bitewings - four radiographic images	8.4%	118	118	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.8%	46	43	$3K
D1351	Sealant - per tooth	1.1%	23	13	$444.36
D0140	Limited oral evaluation - problem focused	<1%	14	14	$225.96
D0272	Bitewings - two radiographic images	<1%	177	177	$95.16
D1206	Topical application of fluoride varnish	<1%	257	257	$25.27
D1330		<1%	355	355	$8.92

2 more codes

D0230	Intraoral - periapical each additional radiographic image	0%	150	$0.00
D0220	Intraoral - periapical first radiographic image	0%	174	$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.