Pirela Gomez, Carlos

Pirela Gomez, Carlos was paid $31K by Medicaid between Feb 2020 and Mar 2022, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoPIRELA GOMEZ, CARLOS
FLORISSANT, MO 63033

33aNPI1942441563assigned 03/11/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$31K

24GClaims472

24DCodes billed7

24AFirst – last monthFeb 2020 – Mar 2022

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#172 of 260

Median peer was paid$78K

This provider vs. median0.4×

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
2020	69	$652.00
2021	275	$17K
2022	128	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	102	82	$9K
D0140	Limited oral evaluation - problem focused	29%	92	84	$9K
D7140	Extraction, erupted tooth or exposed root	16%	46	44	$5K
D0150	Comprehensive oral evaluation - new or established patient	12%	34	30	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.6%	82	49	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.6%	12	12	$1K
D1206	Topical application of fluoride varnish	1.3%	104	44	$416.00

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.