Gonzalez, Jason

Gonzalez, Jason was paid $40K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoGONZALEZ, JASON
CHEYENNE, WY 82009

33aNPI1922448687assigned 06/26/2013

33bProvider typeDentist

28Total paid$40K

24GClaims1,632

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Dentist providers in Wyoming

Rank by total paid#14 of 40

Median peer was paid$14K

This provider vs. median2.9×

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	1,632	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	514	514	$16K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	456	456	$11K
D1208	Topical application of fluoride, excluding varnish	21%	468	468	$8K
D0272	Bitewings - two radiographic images	5.3%	103	103	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.5%	64	64	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.4%	27	27	$965.97

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.