Gomez, Soraya

Gomez, Soraya was paid $12K by Medicaid between Jan 2018 and Jul 2018, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 33% of everything it billed.

33Billing provider infoGOMEZ, SORAYA
NEW CARLISLE, OH 45344

33aNPI1427004456assigned 05/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims671

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#572 of 870

Median peer was paid$40K

This provider vs. median0.3×

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
2018	671	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	33%	221	61	$4K
D1206	Topical application of fluoride varnish	22%	180	180	$3K
D1120	Dental cleaning, childProphylaxis - child	22%	135	135	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	94	94	$2K
D1110	Prophylaxis - adult	7.7%	28	28	$955.64
D0150	Comprehensive oral evaluation - new or established patient	2.8%	13	13	$342.55

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.