Dental
Gonzalez-Nieto, Gustavo
Gonzalez-Nieto, Gustavo was paid $18K by Medicaid between Jun 2023 and Mar 2024, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoGONZALEZ-NIETO, GUSTAVO
TEAGUE, TX 75860
TEAGUE, TX 75860
33aNPI1487811352assigned 05/19/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$18K
24GClaims992
24DCodes billed11
24AFirst – last monthJun 2023 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,690 of 2,774
Median peer was paid$43K
This provider vs. median0.4×
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 | 921 | $17K | |
| 2024incomplete | 71 | $805.37 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 138 | 19 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 112 | 108 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 86 | 82 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 182 | 171 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 156 | 148 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 139 | 128 | $2K |
| D0274 | Bitewings - four radiographic images | 6.0% | 33 | 31 | $1K |
| D1110 | Prophylaxis - adult | 5.6% | 20 | 18 | $987.84 |
| D0272 | Bitewings - two radiographic images | 2.0% | 15 | 15 | $350.70 |
| D0603 | 0% | 24 | 24 | $0.00 | |
| D0602 | 0% | 87 | 82 | $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.