Gomola, Alexandria

Gomola, Alexandria was paid $17K by Medicaid between Jan 2022 and May 2023, across 4 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 37% of everything it billed.

33Billing provider infoGOMOLA, ALEXANDRIA
SAINT JOSEPH, MI 49085

33aNPI1780357608assigned 07/27/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims186

24DCodes billed4

24AFirst – last monthJan 2022 – May 2023

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#735 of 1,554

Median peer was paid$15K

This provider vs. median1.2×

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
2022	172	$15K
2023	14	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	37%	75	45	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	44	44	$4K
D1120	Dental cleaning, childProphylaxis - child	24%	42	42	$4K
D0140	Limited oral evaluation - problem focused	14%	25	25	$2K

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.