Dental
Soto-Gonzalez, Nathalee
Soto-Gonzalez, Nathalee was paid $36K by Medicaid between Mar 2018 and Jul 2024, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoSOTO-GONZALEZ, NATHALEE
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
33aNPI1588948228assigned 09/29/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$36K
24GClaims2,877
24DCodes billed16
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#422 of 723
Median peer was paid$60K
This provider vs. median0.6×
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 | 508 | $4K | |
| 2019 | 1,191 | $17K | |
| 2023 | 622 | $0.00 | |
| 2024incomplete | 556 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 363 | 358 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 279 | 279 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 818 | 501 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 53 | 37 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 629 | 608 | $3K |
| D1206 | Topical application of fluoride varnish | 7.1% | 196 | 196 | $3K |
| D0274 | Bitewings - four radiographic images | 6.3% | 148 | 147 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 182 | 180 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 25 | 24 | $1K |
| D1110 | Prophylaxis - adult | 2.9% | 28 | 27 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 38 | 38 | $671.08 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 13 | 12 | $630.00 |
4 more codes
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.