Dental
Gonzalez, Jose
Gonzalez, Jose was paid $52K by Medicaid between Nov 2021 and May 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoGONZALEZ, JOSE
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
33aNPI1508430091assigned 05/18/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$52K
24GClaims1,771
24DCodes billed8
24AFirst – last monthNov 2021 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#84 of 208
Median peer was paid$26K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 116 | $2K | |
| 2022 | 1,208 | $32K | |
| 2023 | 294 | $15K | |
| 2024incomplete | 153 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 366 | 352 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 75 | 41 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 319 | 310 | $9K |
| D1206 | Topical application of fluoride varnish | 13% | 391 | 376 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 105 | 87 | $6K |
| D1351 | Sealant - per tooth | 8.7% | 299 | 97 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 89 | 86 | $2K |
| D0272 | Bitewings - two radiographic images | 4.6% | 127 | 126 | $2K |
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.