Dominguez, Glenn

Dominguez, Glenn was paid $19K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 56% of everything it billed.

33Billing provider infoDOMINGUEZ, GLENN
WOONSOCKET, RI 02895

33aNPI1316045578assigned 09/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims726

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#60 of 86

Median peer was paid$77K

This provider vs. median0.2×

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	347	$9K
2019	180	$5K
2020	45	$1K
2021	75	$2K
2023	12	$332.40
2024incomplete	67	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	56%	390	358	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	265	237	$5K
D1120	Dental cleaning, childProphylaxis - child	16%	71	64	$3K

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.