Gonzalez, Martin

Gonzalez, Martin was paid $2K by Medicaid between Jan 2018 and Jan 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoGONZALEZ, MARTIN
LEWISVILLE, TX 75067

33aNPI1356660724assigned 05/25/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims65

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#2,327 of 2,774

Median peer was paid$43K

This provider vs. median0.0×

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	65	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	16	16	$510.52
D0150	Comprehensive oral evaluation - new or established patient	29%	14	14	$486.57
D1208	Topical application of fluoride, excluding varnish	24%	22	22	$402.42
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	13	13	$299.09

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.