Dental
Gonzalez Tejada, Jorge
Gonzalez Tejada, Jorge was paid $8K by Medicaid between Apr 2019 and Oct 2020, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoGONZALEZ TEJADA, JORGE
CORAL SPRINGS, FL 33071
CORAL SPRINGS, FL 33071
33aNPI1508343930assigned 07/27/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims381
24DCodes billed10
24AFirst – last monthApr 2019 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#376 of 568
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2019 | 320 | $7K | |
| 2020 | 61 | $624.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 78 | 78 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 53 | 53 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 17 | 12 | $1K |
| D1110 | Prophylaxis - adult | 11% | 18 | 18 | $810.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 13 | 13 | $585.00 |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 12 | 12 | $540.00 |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 97 | 97 | $485.00 |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 13 | 13 | $325.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 64 | 64 | $285.00 |
| D0274 | Bitewings - four radiographic images | 2.5% | 16 | 16 | $192.00 |
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.