Gonzalez, Ruben

Gonzalez, Ruben was paid $121K by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.

33Billing provider infoGONZALEZ, RUBEN
MONTEBELLO, CA 90640

33aNPI1417911074assigned 04/12/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$121K

24GClaims2,839

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,471 of 2,668

Median peer was paid$173K

This provider vs. median0.7×

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	1,719	$70K
2019	1,120	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	27%	625	624	$33K
D4341		22%	420	119	$26K
D0210	Intraoral - complete series of radiographic images	20%	565	564	$25K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10%	187	98	$12K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	8.6%	94	48	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.9%	121	121	$3K
D4910		2.0%	32	32	$2K
D1110	Prophylaxis - adult	1.8%	43	42	$2K
D0230	Intraoral - periapical each additional radiographic image	1.4%	450	225	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	39	39	$1K
D0274	Bitewings - four radiographic images	<1%	47	47	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	111	111	$987.00

5 more codes

D1206	Topical application of fluoride varnish	<1%	31	$468.00
D9430		<1%	13	$320.00
D0220	Intraoral - periapical first radiographic image	<1%	17	$170.00
D0272	Bitewings - two radiographic images	<1%	13	$130.00
D1330		0%	31	$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.