Dental
Gomez, Carlos
Gomez, Carlos was paid $141K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoGOMEZ, CARLOS
DOWNINGTOWN, PA 19335
DOWNINGTOWN, PA 19335
33aNPI1659589679assigned 05/21/2007
33bProvider typePediatric Dentist
28Total paid$141K
24GClaims5,209
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#111 of 237
Median peer was paid$109K
This provider vs. median1.3×
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 | 322 | $8K | |
| 2019 | 72 | $2K | |
| 2020 | 457 | $12K | |
| 2021 | 1,771 | $57K | |
| 2022 | 63 | $2K | |
| 2024incomplete | 2,524 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,128 | 1,117 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,229 | 1,209 | $28K |
| D1206 | Topical application of fluoride varnish | 19% | 1,320 | 1,307 | $27K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 320 | 297 | $15K |
| D0272 | Bitewings - two radiographic images | 4.6% | 367 | 366 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 49 | 14 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 79 | 53 | $5K |
| D1110 | Prophylaxis - adult | 2.9% | 101 | 101 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 124 | 124 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 129 | 120 | $3K |
| D0274 | Bitewings - four radiographic images | 1.3% | 59 | 59 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 18 | 12 | $1K |
6 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 114 | $971.85 |
| D0330 | Panoramic radiographic image | <1% | 16 | $584.00 |
| D0240 | <1% | 44 | $510.00 | |
| D1330 | <1% | 45 | $450.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 42 | $338.00 |
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.