Dental
Mondragon Velez, Gloria
Mondragon Velez, Gloria was paid $254K by Medicaid between Sep 2021 and Jul 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoMONDRAGON VELEZ, GLORIA
SILVER SPRING, MD 20902
SILVER SPRING, MD 20902
33aNPI1598121402assigned 01/07/2016
33bProvider typeDentist
28Total paid$254K
24GClaims12,995
24DCodes billed18
24AFirst – last monthSep 2021 – Jul 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#109 of 415
Median peer was paid$47K
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 | |
|---|---|---|---|
| 2021 | 1,028 | $29K | |
| 2022 | 4,468 | $133K | |
| 2023 | 4,966 | $92K | |
| 2024incomplete | 2,533 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,606 | 2,578 | $65K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 2,294 | 2,276 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,936 | 1,922 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 800 | 785 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 322 | 235 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.9% | 976 | 920 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 278 | 179 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 1,661 | 608 | $10K |
| D0272 | Bitewings - two radiographic images | 3.4% | 534 | 526 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 817 | 804 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 42 | 26 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 15 | 13 | $3K |
6 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.