Dental
Gordon, Kobie
Gordon, Kobie was paid $8K by Medicaid between May 2024 and Oct 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoGORDON, KOBIE
REVERE, MA 02151
REVERE, MA 02151
33aNPI1316582877assigned 11/08/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims293
24DCodes billed8
24AFirst – last monthMay 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#543 of 693
Median peer was paid$87K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 293 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 54 | 54 | $2K |
| D1351 | Sealant - per tooth | 29% | 62 | 18 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 54 | 54 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 44 | 44 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 25 | 25 | $224.00 |
| D0272 | Bitewings - two radiographic images | 2.5% | 17 | 17 | $188.53 |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 25 | 25 | $165.25 |
| D0602 | 0% | 12 | 12 | $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.