Dental
NPI deactivated
Gordon, Michael
Gordon, Michael was paid $454K by Medicaid between Jan 2018 and Dec 2022, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoGORDON, MICHAEL
CINCINNATI, OH 45251
CINCINNATI, OH 45251
33aNPI1407851702assigned 06/15/2005
33bProvider typePediatric Dentist
28Total paid$454K
24GClaims24,607
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#43 of 144
Median peer was paid$140K
This provider vs. median3.2×
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 | 1,390 | $16K | |
| 2019 | 4,785 | $95K | |
| 2020 | 4,404 | $75K | |
| 2021 | 2,337 | $24K | |
| 2022 | 11,691 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 854 | 281 | $86K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,169 | 3,113 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 1,037 | 360 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 3,478 | 3,421 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 2,463 | 2,442 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 1,177 | 1,153 | $31K |
| D0272 | Bitewings - two radiographic images | 5.3% | 2,420 | 2,392 | $24K |
| D1351 | Sealant - per tooth | 4.1% | 866 | 235 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 3,533 | 3,189 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 3,387 | 3,326 | $17K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.5% | 257 | 139 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 180 | 89 | $7K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.3% | 272 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 312 | $6K |
| D0330 | Panoramic radiographic image | 1.3% | 122 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 104 | $6K |
| D1110 | Prophylaxis - adult | <1% | 115 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 79 | $2K |
| D1999 | 0% | 782 | $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.