Dental
Lopez, Gisela
Lopez, Gisela was paid $2K by Medicaid between Jan 2018 and Apr 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoLOPEZ, GISELA
GARFIELD, NJ 07026
GARFIELD, NJ 07026
33aNPI1841483039assigned 08/22/2007
33bProvider typeDentist
28Total paid$2K
24GClaims829
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#550 of 674
Median peer was paid$27K
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 | 502 | $1K | |
| 2019 | 49 | $565.50 | |
| 2022 | 165 | $290.00 | |
| 2023 | 100 | $160.00 | |
| 2024incomplete | 13 | $40.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 72 | 72 | $598.00 |
| D0190 | 21% | 254 | 225 | $490.00 | |
| D1206 | Topical application of fluoride varnish | 13% | 76 | 76 | $315.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 56 | 56 | $299.00 |
| D1110 | Prophylaxis - adult | 8.2% | 47 | 47 | $192.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 30 | 30 | $143.00 |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 135 | 129 | $131.25 |
| D0274 | Bitewings - four radiographic images | 3.8% | 53 | 53 | $90.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 82 | 81 | $88.00 |
| D1330 | 0% | 24 | 24 | $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.