Gateway Oral Health Foundation

Gateway Oral Health Foundation was paid $10K by Medicaid between Oct 2018 and Aug 2022, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 30% of everything it billed.

33Billing provider infoGATEWAY ORAL HEALTH FOUNDATION
OLIVETTE, MO 63132

33aNPI1346394970assigned 01/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims472

24DCodes billed7

24AFirst – last monthOct 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#206 of 260

Median peer was paid$78K

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
2018	46	$647.83
2019	258	$4K
2020	68	$1K
2022	100	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	30%	38	37	$3K
D1120	Dental cleaning, childProphylaxis - child	28%	158	153	$3K
D1206	Topical application of fluoride varnish	17%	143	141	$2K
D0230	Intraoral - periapical each additional radiographic image	11%	46	16	$1K
D0272	Bitewings - two radiographic images	5.3%	43	43	$502.52
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.6%	28	25	$442.18
D0220	Intraoral - periapical first radiographic image	4.3%	16	16	$408.00

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.

From NPPES

Who's on the registration

Authorized officialDEVALL, BYRON (DENTIST)