Dental
Gomez, Marianna
Gomez, Marianna was paid $978.30 by Medicaid between Oct 2023 and Oct 2023, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoGOMEZ, MARIANNA
ONTARIO, CA 91764
ONTARIO, CA 91764
33aNPI1851040067assigned 03/23/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$978.30
24GClaims62
24DCodes billed4
24AFirst – last monthOct 2023 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,509 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 | |
|---|---|---|---|
| 2023 | 62 | $978.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 15 | 12 | $441.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 15 | 12 | $346.20 |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 16 | 13 | $191.10 |
| D0603 | 0% | 16 | 13 | $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.