Managed care
Yadira L. Gamez Dental INC
Yadira L. Gamez Dental INC was paid $1.06M by Medicaid between Mar 2018 and Dec 2024, across 24 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 13% of everything it billed.
33Billing provider infoYADIRA L. GAMEZ DENTAL INC
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
33aNPI1841565579assigned 03/13/2012
33bProvider typePreferred Provider Organization
28Total paid$1.06M
24GClaims23,401
24DCodes billed24
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#12 of 100
Median peer was paid$80K
This provider vs. median13×
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 | 149 | $3K | |
| 2019 | 134 | $3K | |
| 2020 | 419 | $21K | |
| 2021 | 5,285 | $210K | |
| 2022 | 6,584 | $295K | |
| 2023 | 6,003 | $327K | |
| 2024incomplete | 4,827 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 13% | 285 | 210 | $136K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,999 | 1,995 | $132K |
| D1110 | Prophylaxis - adult | 9.2% | 1,126 | 1,123 | $97K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 1,400 | 891 | $92K |
| D4341 | 8.4% | 1,285 | 548 | $89K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 1,025 | 1,023 | $74K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 1,469 | 1,466 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 1,131 | 584 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 979 | 599 | $53K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 511 | 399 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 8,186 | 1,772 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 899 | 897 | $37K |
12 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.5% | 546 | $37K |
| D0274 | Bitewings - four radiographic images | 2.4% | 1,295 | $26K |
| D2160 | 2.1% | 282 | $22K | |
| D2330 | 2.0% | 271 | $21K | |
| D2332 | 1.0% | 131 | $11K | |
| D2331 | <1% | 92 | $7K | |
| D2140 | <1% | 96 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 292 | $3K |
| D4910 | <1% | 24 | $2K | |
| D4342 | <1% | 21 | $882.00 | |
| D9110 | <1% | 12 | $756.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 44 | $528.00 |
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.
From NPPES
Who's on the registration
Authorized officialGAMEZ, YADIRA (PRESIDENT)