Clinic
DR. Ricardo Gaitan
DR. Ricardo Gaitan was paid $6K by Medicaid between Dec 2020 and Dec 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoDR. RICARDO GAITAN
STERLING, VA 20166
STERLING, VA 20166
33aNPI1437326006assigned 05/13/2008
33bProvider typeDental Clinic/Center
28Total paid$6K
24GClaims220
24DCodes billed4
24AFirst – last monthDec 2020 – Dec 2023
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#104 of 142
Median peer was paid$75K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 27 | $532.86 | |
| 2021 | 99 | $3K | |
| 2022 | 65 | $3K | |
| 2023 | 29 | $393.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 86 | 80 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 68 | 64 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 54 | 53 | $1K |
| D0274 | Bitewings - four radiographic images | 5.1% | 12 | 12 | $331.20 |
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.
From NPPES
Who's on the registration
Authorized officialGAITAN, RICARDO (DENTAL)
| Provider | Location | Paid |
|---|---|---|
| Boulevard Dental Clinic | Fairfax, VA | $519.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.