Dental
Kelly M. Gonzales, DDS, PC
Kelly M. Gonzales, DDS, PC was paid $22K by Medicaid between Jul 2018 and Dec 2020, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoKELLY M. GONZALES, DDS, PC
GEORGETOWN, TX 78628
GEORGETOWN, TX 78628
33aNPI1801060660assigned 04/14/2008
33bProvider typePediatric Dentist
28Total paid$22K
24GClaims995
24DCodes billed14
24AFirst – last monthJul 2018 – Dec 2020
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#533 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | 24 | $176.40 | |
| 2020 | 971 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 140 | 138 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 101 | 98 | $4K |
| D1351 | Sealant - per tooth | 16% | 127 | 26 | $3K |
| D1110 | Prophylaxis - adult | 9.7% | 40 | 40 | $2K |
| D1206 | Topical application of fluoride varnish | 8.3% | 126 | 124 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 18 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 7.0% | 66 | 66 | $2K |
| D0274 | Bitewings - four radiographic images | 5.9% | 38 | 37 | $1K |
| D0330 | Panoramic radiographic image | 4.0% | 15 | 15 | $859.88 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 25 | 25 | $677.75 |
| D0350 | 2.0% | 121 | 24 | $441.12 | |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 22 | 21 | $308.70 |
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.
From NPPES
Who's on the registration
Authorized officialGONZALES, KELLY (PRESIDENT)