Lara Gutierrez, Paulina

Lara Gutierrez, Paulina was paid $36K by Medicaid between Jul 2021 and May 2023, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.

33Billing provider infoLARA GUTIERREZ, PAULINA
MENTOR, OH 44060

33aNPI1558853036assigned 05/31/2018

33bProvider typeDentist

28Total paid$36K

24GClaims963

24DCodes billed10

24AFirst – last monthJul 2021 – May 2023

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#381 of 745

Median peer was paid$38K

This provider vs. median0.9×

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	49	$999.70
2022	819	$30K
2023	95	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	41%	277	86	$15K
D0150	Comprehensive oral evaluation - new or established patient	16%	241	237	$6K
D0330	Panoramic radiographic image	14%	120	117	$5K
D7140	Extraction, erupted tooth or exposed root	13%	86	42	$5K
D1120	Dental cleaning, childProphylaxis - child	6.5%	119	119	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	4.6%	26	12	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.7%	42	42	$597.80
D0274	Bitewings - four radiographic images	1.0%	25	25	$360.00
D1206	Topical application of fluoride varnish	<1%	14	14	$210.00
D1208	Topical application of fluoride, excluding varnish	<1%	13	13	$180.00

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.