Dental
Baldino-Gomez, Mary Ann
Baldino-Gomez, Mary Ann was paid $210K by Medicaid between Jan 2023 and Dec 2024, across 9 billing codes. Its largest line is D1351, Sealant - per tooth — 31% of everything it billed.
33Billing provider infoBALDINO-GOMEZ, MARY ANN
LINDENHURST, IL 60046
LINDENHURST, IL 60046
33aNPI1417309568assigned 07/12/2016
33bProvider typeDentist
28Total paid$210K
24GClaims5,954
24DCodes billed9
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#491 of 1,099
Median peer was paid$160K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2023 | 2,925 | $100K | |
| 2024incomplete | 3,029 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 31% | 1,024 | 675 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 1,398 | 1,398 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,352 | 1,352 | $39K |
| D1206 | Topical application of fluoride varnish | 18% | 1,372 | 1,372 | $37K |
| D1354 | 3.7% | 243 | 151 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 14 | $382.20 |
| D0602 | 0% | 281 | 281 | $0.00 | |
| D0603 | 0% | 133 | 133 | $0.00 | |
| D0601 | 0% | 137 | 137 | $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.