Dental
Gallegos, Sidney
Gallegos, Sidney was paid $0.00 by Medicaid between Aug 2023 and Aug 2023, across 9 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoGALLEGOS, SIDNEY
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1669548103assigned 11/27/2006
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims835
24DCodes billed9
24AFirst – last monthAug 2023 – Aug 2023
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#133 of 156
Median peer was paid$337K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 835 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 37 | 19 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 53 | 21 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 177 | 73 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 47 | 20 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 219 | 88 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 211 | 86 | $0.00 |
| D0603 | 0% | 31 | 17 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 27 | 13 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 33 | 15 | $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.