Dawson, Gordon

Dawson, Gordon was paid $6K by Medicaid between Oct 2018 and Mar 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 81% of everything it billed.

33Billing provider infoDAWSON, GORDON
SUMMERVILLE, SC 29483

33aNPI1659329548assigned 05/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims150

24DCodes billed4

24AFirst – last monthOct 2018 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#271 of 331

Median peer was paid$75K

This provider vs. median0.1×

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	46	$1K
2019	27	$1K
2020	12	$577.60
2021	37	$1K
2023	28	$847.76

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	81%	93	93	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	27	27	$598.00
D0272	Bitewings - two radiographic images	5.4%	16	16	$303.04
D0220	Intraoral - periapical first radiographic image	3.1%	14	14	$172.46

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.