Dental
Gallegos, Alma
Gallegos, Alma was paid $954.47 by Medicaid between Feb 2021 and Aug 2023, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.
33Billing provider infoGALLEGOS, ALMA
BERWYN, IL 60402
BERWYN, IL 60402
33aNPI1376145433assigned 11/13/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$954.47
24GClaims253
24DCodes billed7
24AFirst – last monthFeb 2021 – Aug 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#970 of 1,017
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2021 | 104 | $0.00 | |
| 2023 | 149 | $954.47 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 47% | 78 | 78 | $446.00 |
| D1206 | Topical application of fluoride varnish | 31% | 66 | 66 | $292.65 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 12 | 12 | $130.40 |
| D0274 | Bitewings - four radiographic images | 7.3% | 14 | 14 | $69.22 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 59 | 59 | $16.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 12 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 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.