Gomez, Michael

Gomez, Michael was paid $875.50 by Medicaid between Jan 2018 and Jun 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.

33Billing provider infoGOMEZ, MICHAEL
HUNTINGTON PARK, CA 90255

33aNPI1811037542assigned 02/08/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$875.50

24GClaims79

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,520 of 2,668

Median peer was paid$173K

This provider vs. median0.0×

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	41	$196.50
2019	38	$679.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	62%	12	12	$540.00
D1208	Topical application of fluoride, excluding varnish	38%	38	38	$335.50
D1330		0%	29	29	$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.