Dental
Gantz, Jonathan
Gantz, Jonathan was paid $4.72M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoGANTZ, JONATHAN
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1386872141assigned 06/30/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$4.72M
24GClaims117,116
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#15 of 319
Median peer was paid$22K
This provider vs. median218×
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 | 9,906 | $220K | |
| 2019 | 11,299 | $261K | |
| 2020 | 12,232 | $324K | |
| 2021 | 15,815 | $594K | |
| 2022 | 21,374 | $1.01M | |
| 2023 | 24,201 | $1.13M | |
| 2024incomplete | 22,289 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 21% | 10,704 | 3,645 | $1.00M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 12,012 | 3,333 | $784K |
| D0140 | Limited oral evaluation - problem focused | 9.7% | 18,036 | 14,773 | $460K |
| D2332 | 9.1% | 4,688 | 1,872 | $431K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.0% | 5,174 | 1,564 | $423K |
| D9110 | 5.9% | 4,543 | 3,944 | $277K | |
| D9610 | 5.6% | 4,836 | 4,272 | $265K | |
| D2335 | 4.9% | 1,695 | 711 | $231K | |
| D1110 | Prophylaxis - adult | 4.7% | 5,215 | 4,910 | $220K |
| D0330 | Panoramic radiographic image | 2.8% | 4,181 | 3,779 | $131K |
| D1206 | Topical application of fluoride varnish | 2.6% | 7,243 | 6,830 | $123K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 10,434 | 9,191 | $91K |
14 more codes
| D0274 | Bitewings - four radiographic images | 1.7% | 6,711 | $81K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,779 | $46K |
| D1120 | Dental cleaning, child | <1% | 1,514 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14,999 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 492 | $27K |
| D4341 | <1% | 576 | $24K | |
| D1999 | <1% | 1,606 | $13K | |
| D2330 | <1% | 177 | $10K | |
| D3221 | <1% | 135 | $7K | |
| D4910 | <1% | 117 | $5K | |
| D9930 | <1% | 50 | $2K | |
| D2331 | <1% | 61 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 85 | $810.53 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 53 | $690.68 |
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.