Chacon, Guillermo

Chacon, Guillermo was paid $265K by Medicaid between Mar 2018 and Sep 2020, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 57% of everything it billed.

33Billing provider infoCHACON, GUILLERMO
PUYALLUP, WA 98373

33aNPI1619047511assigned 11/08/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$265K

24GClaims3,569

24DCodes billed9

24AFirst – last monthMar 2018 – Sep 2020

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Washington

Rank by total paid#19 of 32

Median peer was paid$337K

This provider vs. median0.8×

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	397	$27K
2019	1,344	$118K
2020	1,828	$121K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	57%	1,080	313	$151K
D9222		14%	543	522	$37K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	13%	460	411	$34K
D0150	Comprehensive oral evaluation - new or established patient	8.3%	752	740	$22K
D0330	Panoramic radiographic image	2.1%	138	138	$5K
D1999		1.9%	359	316	$5K
D7230		1.6%	36	15	$4K
D7140	Extraction, erupted tooth or exposed root	1.4%	72	27	$4K
D0140	Limited oral evaluation - problem focused	<1%	129	129	$2K

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.