Dental
DRS. Gormley and Gutierrez Pediatric Dentistry, PC
DRS. Gormley and Gutierrez Pediatric Dentistry, PC was paid $9.28M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoDRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1841331311assigned 02/09/2007
33bProvider typePediatric Dentist
28Total paid$9.28M
24GClaims257,573
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#4 of 44
Median peer was paid$240K
This provider vs. median39×
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 | 30,386 | $1.10M | |
| 2019 | 28,277 | $990K | |
| 2020 | 25,109 | $899K | |
| 2021 | 38,828 | $1.42M | |
| 2022 | 45,674 | $1.68M | |
| 2023 | 46,363 | $1.70M | |
| 2024incomplete | 42,936 | $1.50M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 16,472 | 6,015 | $1.88M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 40,589 | 40,547 | $1.29M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 36,082 | 36,041 | $820K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 9,791 | 4,957 | $681K |
| D1206 | Topical application of fluoride varnish | 6.7% | 33,384 | 33,344 | $620K |
| D0272 | Bitewings - two radiographic images | 5.5% | 25,197 | 25,158 | $512K |
| D2929 | 5.0% | 3,987 | 1,224 | $462K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 7,052 | 3,824 | $452K |
| D1351 | Sealant - per tooth | 3.9% | 15,526 | 5,033 | $363K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.7% | 4,471 | 1,782 | $346K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 6,366 | 3,784 | $340K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 11,183 | 10,454 | $306K |
13 more codes
| D9420 | 3.0% | 3,819 | $283K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 5,173 | $182K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 5,615 | $165K |
| D0330 | Panoramic radiographic image | 1.6% | 3,122 | $149K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 12,127 | $137K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 7,295 | $128K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,255 | $75K |
| D0274 | Bitewings - four radiographic images | <1% | 1,518 | $45K |
| D9920 | <1% | 199 | $20K | |
| D2330 | <1% | 156 | $10K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 118 | $4K |
| D2331 | <1% | 37 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 39 | $1K |
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 officialGUTIERREZ, KAREN (OWNER)