Dental
Gomara, Denise
Gomara, Denise was paid $120.84 by Medicaid between Mar 2022 and Aug 2022, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoGOMARA, DENISE
AVON PARK, FL 33825
AVON PARK, FL 33825
33aNPI1497887863assigned 03/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$120.84
24GClaims48
24DCodes billed2
24AFirst – last monthMar 2022 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#521 of 568
Median peer was paid$24K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 48 | $120.84 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 13 | 13 | $120.84 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 35 | 32 | $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.