Dental
Van Gordon, Olivia
Van Gordon, Olivia was paid $72K by Medicaid between Aug 2019 and Sep 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoVAN GORDON, OLIVIA
GRENADA, MS 38901
GRENADA, MS 38901
33aNPI1598285538assigned 06/21/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$72K
24GClaims2,730
24DCodes billed10
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#195 of 379
Median peer was paid$78K
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 | |
|---|---|---|---|
| 2019 | 79 | $2K | |
| 2020 | 241 | $6K | |
| 2021 | 241 | $5K | |
| 2022 | 475 | $12K | |
| 2023 | 1,110 | $34K | |
| 2024incomplete | 584 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 916 | 810 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 520 | 456 | $13K |
| D1206 | Topical application of fluoride varnish | 14% | 473 | 412 | $10K |
| D0274 | Bitewings - four radiographic images | 11% | 293 | 255 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 129 | 117 | $5K |
| D0330 | Panoramic radiographic image | 6.6% | 104 | 90 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 139 | 124 | $2K |
| D1351 | Sealant - per tooth | 3.4% | 72 | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 67 | 58 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 17 | 15 | $213.47 |
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.