Gutierrez, Marco

Gutierrez, Marco was paid $17K by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.

33Billing provider infoGUTIERREZ, MARCO
NEWBERG, OR 97132

33aNPI1902876691assigned 01/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims2,267

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Oregon

Rank by total paid#119 of 311

Median peer was paid$6K

This provider vs. median2.7×

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	1,776	$5K
2019	446	$11K
2020	45	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	38%	531	419	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	467	387	$6K
D1206	Topical application of fluoride varnish	16%	450	355	$3K
D0220	Intraoral - periapical first radiographic image	6.2%	337	254	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.9%	18	12	$1K
D0230	Intraoral - periapical each additional radiographic image	1.5%	175	125	$255.00
D1330		0%	244	131	$0.00
D0150	Comprehensive oral evaluation - new or established patient	0%	28	14	$0.00
D0272	Bitewings - two radiographic images	0%	17	17	$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.