Dental
Gordon, Sigismund
Gordon, Sigismund was paid $167K by Medicaid between Jan 2018 and Feb 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoGORDON, SIGISMUND
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
33aNPI1952525982assigned 04/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$167K
24GClaims6,522
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#279 of 1,554
Median peer was paid$15K
This provider vs. median11×
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 | 2,544 | $62K | |
| 2019 | 1,901 | $45K | |
| 2020 | 806 | $18K | |
| 2021 | 495 | $14K | |
| 2022 | 90 | $2K | |
| 2023 | 607 | $24K | |
| 2024incomplete | 79 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 1,022 | 996 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,014 | 997 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 9.6% | 310 | 302 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 402 | 398 | $16K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 384 | 374 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 475 | 462 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 8.2% | 988 | 968 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 1,311 | 359 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 461 | 457 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.9% | 28 | 16 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 43 | 26 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 50 | 24 | $2K |
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.