Dental
Sague, Gustavo
Sague, Gustavo was paid $616K by Medicaid between Jan 2020 and Dec 2024, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoSAGUE, GUSTAVO
HOMESTEAD, FL 33030
HOMESTEAD, FL 33030
33aNPI1699177964assigned 09/18/2014
33bProvider typeDentist
28Total paid$616K
24GClaims38,179
24DCodes billed30
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#58 of 542
Median peer was paid$25K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 2,280 | $36K | |
| 2021 | 609 | $8K | |
| 2022 | 12,109 | $184K | |
| 2023 | 12,489 | $220K | |
| 2024incomplete | 10,692 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 3,253 | 1,847 | $124K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 2,653 | 2,619 | $101K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16% | 1,334 | 934 | $96K |
| D1110 | Prophylaxis - adult | 10% | 1,941 | 1,912 | $62K |
| D4341 | 7.3% | 2,751 | 994 | $45K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 1,688 | 1,668 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 2,350 | 1,390 | $27K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 3,299 | 2,638 | $21K |
| D2332 | 3.4% | 400 | 254 | $21K | |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 1,842 | 1,813 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 3,107 | 3,045 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 275 | 212 | $9K |
18 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,920 | $7K |
| D2331 | 1.0% | 383 | $6K | |
| D9110 | <1% | 536 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 829 | $4K |
| D5214 | <1% | 15 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,848 | $3K |
| D5213 | <1% | 12 | $3K | |
| D1330 | <1% | 3,182 | $3K | |
| D0350 | <1% | 249 | $2K | |
| D1120 | Dental cleaning, child | <1% | 235 | $2K |
| D2330 | <1% | 55 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,036 | $906.88 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $322.72 |
| D1999 | <1% | 62 | $193.35 | |
| D3120 | <1% | 14 | $91.00 | |
| D5421 | <1% | 12 | $42.18 | |
| D5422 | <1% | 12 | $14.06 | |
| D9215 | 0% | 867 | $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.