Won, Gordon

Won, Gordon was paid $81K by Medicaid between Jan 2018 and Jan 2023, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 25% of everything it billed.

33Billing provider infoWON, GORDON
SAINT JOSEPH, MI 49085

33aNPI1538370135assigned 05/24/2007

33bProvider typeDentist

28Total paid$81K

24GClaims1,754

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#291 of 1,033

Median peer was paid$15K

This provider vs. median5.4×

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
2018	243	$10K
2019	92	$2K
2020	329	$17K
2021	402	$16K
2022	630	$31K
2023	58	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	25%	217	129	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	767	763	$20K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	110	76	$14K
D1110	Prophylaxis - adult	15%	243	243	$12K
D1206	Topical application of fluoride varnish	5.5%	180	180	$4K
D1120	Dental cleaning, childProphylaxis - child	4.6%	93	93	$4K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	93	93	$4K
D0330	Panoramic radiographic image	3.1%	38	38	$3K
D0274	Bitewings - four radiographic images	<1%	13	13	$455.60

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.