Gordon, Richard

Gordon, Richard was paid $124K by Medicaid between Feb 2018 and Nov 2018, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoGORDON, RICHARD
JOHNSTON, RI 02919

33aNPI1659314128assigned 06/13/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$124K

24GClaims2,695

24DCodes billed18

24AFirst – last monthFeb 2018 – Nov 2018

Compared with peers

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

Rank by total paid#6 of 9

Median peer was paid$161K

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	2,695	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	16%	442	441	$19K
D1206	Topical application of fluoride varnish	14%	492	491	$18K
D2930	Prefabricated stainless steel crown - primary tooth	13%	121	40	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.8%	457	457	$11K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.7%	101	81	$11K
D7140	Extraction, erupted tooth or exposed root	7.5%	110	45	$9K
D1351	Sealant - per tooth	6.6%	250	89	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.8%	78	68	$6K
D1110	Prophylaxis - adult	4.6%	93	93	$6K
D0272	Bitewings - two radiographic images	3.1%	162	162	$4K
D0274	Bitewings - four radiographic images	2.6%	95	95	$3K
D9420		2.3%	13	13	$3K

6 more codes

D0330	Panoramic radiographic image	2.1%	41	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.6%	64	$2K
D0140	Limited oral evaluation - problem focused	1.4%	47	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.2%	42	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	30	$870.00
D0220	Intraoral - periapical first radiographic image	<1%	57	$855.00

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.