Dental
Gonzales, Carolina
Gonzales, Carolina was paid $123K by Medicaid between Jul 2022 and Oct 2022, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoGONZALES, CAROLINA
DORAL, FL 33178
DORAL, FL 33178
33aNPI1629555214assigned 07/26/2018
33bProvider typeDentist
28Total paid$123K
24GClaims4,360
24DCodes billed15
24AFirst – last monthJul 2022 – Oct 2022
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#159 of 542
Median peer was paid$25K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2022 | 4,360 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 351 | 175 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 10.0% | 184 | 183 | $12K |
| D1351 | Sealant - per tooth | 9.0% | 434 | 131 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 290 | 281 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 809 | 248 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 257 | 250 | $8K |
| D1110 | Prophylaxis - adult | 6.4% | 153 | 150 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 270 | 260 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 95 | 61 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 443 | 431 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 186 | 181 | $5K |
| D0274 | Bitewings - four radiographic images | 2.9% | 112 | 107 | $4K |
3 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.