Dental
Gotta, Matthew
Gotta, Matthew was paid $69K by Medicaid between Aug 2020 and Jun 2021, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoGOTTA, MATTHEW
ARLINGTON HEIGHTS, IL 60005
ARLINGTON HEIGHTS, IL 60005
33aNPI1639791296assigned 05/17/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims3,145
24DCodes billed18
24AFirst – last monthAug 2020 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#616 of 1,017
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2020 | 2,344 | $51K | |
| 2021 | 801 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 382 | 347 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 462 | 420 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 349 | 315 | $9K |
| D1351 | Sealant - per tooth | 8.3% | 56 | 40 | $6K |
| D1110 | Prophylaxis - adult | 8.1% | 143 | 132 | $6K |
| D0274 | Bitewings - four radiographic images | 7.4% | 317 | 289 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 160 | 140 | $3K |
| D2140 | 3.1% | 44 | 26 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.7% | 24 | 19 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 41 | 36 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 335 | 297 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 19 | 13 | $1K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 26 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 221 | $995.60 |
| D0272 | Bitewings - two radiographic images | 1.4% | 109 | $968.20 |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 55 | $826.20 |
| D0330 | Panoramic radiographic image | <1% | 18 | $318.40 |
| D1999 | 0% | 384 | $0.00 |
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.