Shlom, Gordon

Shlom, Gordon was paid $5K by Medicaid between Mar 2018 and May 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.

33Billing provider infoSHLOM, GORDON
WATERFORD, MI 48328

33aNPI1669560900assigned 10/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims185

24DCodes billed4

24AFirst – last monthMar 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#994 of 1,554

Median peer was paid$15K

This provider vs. median0.3×

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	143	$4K
2019	42	$946.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	50%	67	67	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	60	60	$1K
D1208	Topical application of fluoride, excluding varnish	19%	46	46	$911.10
D0230	Intraoral - periapical each additional radiographic image	1.9%	12	12	$90.00

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.