Dental
To, Gavin
To, Gavin was paid $21K by Medicaid between Mar 2024 and Nov 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoTO, GAVIN
ELIZABETH, NJ 07201
ELIZABETH, NJ 07201
33aNPI1699453118assigned 07/05/2023
33bProvider typeDentist
28Total paid$21K
24GClaims1,141
24DCodes billed9
24AFirst – last monthMar 2024 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#359 of 674
Median peer was paid$27K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2024incomplete | 1,141 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 155 | 155 | $6K |
| D1206 | Topical application of fluoride varnish | 23% | 171 | 171 | $5K |
| D1351 | Sealant - per tooth | 20% | 218 | 47 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 142 | 142 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 152 | 150 | $620.00 |
| D0272 | Bitewings - two radiographic images | 2.4% | 61 | 61 | $520.00 |
| D1353 | 2.1% | 51 | 12 | $460.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 144 | 142 | $369.00 |
| D0603 | 1.4% | 47 | 46 | $310.00 |
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.