Gamaliel I. Rodriguez, DDS, PC

Gamaliel I. Rodriguez, DDS, PC was paid $18K by Medicaid between Jun 2018 and May 2024, across 7 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 33% of everything it billed.

33Billing provider infoGAMALIEL I. RODRIGUEZ, DDS, PC
NORTH POLE, AK 99705

33aNPI1558726489assigned 12/18/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims634

24DCodes billed7

24AFirst – last monthJun 2018 – May 2024

Compared with peers

Next to other General Practice Dentistry providers in Alaska

Rank by total paid#53 of 80

Median peer was paid$63K

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
2018	18	$803.76
2019	96	$2K
2020	77	$2K
2021	95	$2K
2022	207	$5K
2023	12	$268.73
2024incomplete	129	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	33%	117	103	$6K
D0220	Intraoral - periapical first radiographic image	27%	248	208	$5K
D0230	Intraoral - periapical each additional radiographic image	13%	134	114	$2K
D1208	Topical application of fluoride, excluding varnish	10.0%	72	68	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.9%	31	29	$1K
D1110	Prophylaxis - adult	5.9%	14	12	$1K
D0150	Comprehensive oral evaluation - new or established patient	4.5%	18	12	$803.76

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.

From NPPES

Who's on the registration

Authorized officialRODRIGUEZ, GAMALIEL (OWNER)