Gomola, Zachary

Gomola, Zachary was paid $91K by Medicaid between Oct 2021 and Aug 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoGOMOLA, ZACHARY
SAINT JOSEPH, MI 49085

33aNPI1386210730assigned 05/27/2021

33bProvider typeDentist

28Total paid$91K

24GClaims1,231

24DCodes billed9

24AFirst – last monthOct 2021 – Aug 2023

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#280 of 1,033

Median peer was paid$15K

This provider vs. median6.0×

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	40	$133.78
2022	534	$56K
2023	657	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	454	448	$39K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	300	296	$22K
D9999	Unspecified adjunctive procedure, by report	15%	157	113	$14K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.7%	91	79	$8K
D0140	Limited oral evaluation - problem focused	7.7%	81	79	$7K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	32	32	$2K
D1206	Topical application of fluoride varnish	<1%	88	88	$0.07
D0274	Bitewings - four radiographic images	<1%	15	13	$0.02
D0272	Bitewings - two radiographic images	0%	13	13	$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.