Dental
Gustavo Perdomo DMD PC
Gustavo Perdomo DMD PC was paid $319.00 by Medicaid between Sep 2023 and Sep 2023, across 1 billing code. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoGUSTAVO PERDOMO DMD PC
WEST ROXBURY, MA 02132
WEST ROXBURY, MA 02132
33aNPI1578042669assigned 08/09/2018
33bProvider typeDentist
28Total paid$319.00
24GClaims12
24DCodes billed1
24AFirst – last monthSep 2023 – Sep 2023
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#395 of 413
Median peer was paid$93K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 12 | $319.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 12 | 12 | $319.00 |
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.
From NPPES
Who's on the registration
Authorized officialSOARES, THIAGO (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Reliant Dental Group PC | West Roxbury, MA | $724.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.