Dental
Gales, Antonio
Gales, Antonio was paid $8K by Medicaid between Jan 2018 and Feb 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.
33Billing provider infoGALES, ANTONIO
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1942210661assigned 08/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims429
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#200 of 293
Median peer was paid$31K
This provider vs. median0.3×
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 | 124 | $2K | |
| 2019 | 157 | $3K | |
| 2020 | 116 | $2K | |
| 2021 | 32 | $616.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 51% | 194 | 185 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 38% | 192 | 186 | $3K |
| D0240 | 7.2% | 30 | 15 | $616.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 13 | 12 | $360.00 |
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.