Dental
Gomez, Stephanie
Gomez, Stephanie was paid $514K by Medicaid between Jul 2023 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoGOMEZ, STEPHANIE
PEEKSKILL, NY 10566
PEEKSKILL, NY 10566
33aNPI1316505530assigned 06/03/2019
33bProvider typePediatric Dentist
28Total paid$514K
24GClaims18,455
24DCodes billed18
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#164 of 514
Median peer was paid$196K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2023 | 5,349 | $163K | |
| 2024incomplete | 13,106 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,658 | 697 | $111K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,428 | 2,428 | $80K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 1,760 | 523 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,521 | 2,521 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 3,162 | 3,162 | $38K |
| D0272 | Bitewings - two radiographic images | 7.0% | 2,542 | 2,541 | $36K |
| D1110 | Prophylaxis - adult | 6.5% | 788 | 788 | $33K |
| D1351 | Sealant - per tooth | 3.9% | 582 | 201 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 389 | 242 | $19K |
| D1354 | 2.0% | 331 | 119 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 860 | 854 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 358 | 358 | $8K |
6 more codes
| D9310 | 1.3% | 281 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 257 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 466 | $3K |
| D2330 | <1% | 26 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $142.56 |
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.