Dental
Gonsalves and Wolff, DDS II
Gonsalves and Wolff, DDS II was paid $219K by Medicaid between Jan 2018 and Dec 2020, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoGONSALVES AND WOLFF, DDS II
CONCORD, NC 28025
CONCORD, NC 28025
33aNPI1952606733assigned 01/25/2011
33bProvider typeDentist
28Total paid$219K
24GClaims5,767
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#183 of 402
Median peer was paid$154K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 1,640 | $52K | |
| 2019 | 3,099 | $133K | |
| 2020 | 1,028 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 387 | 236 | $42K |
| D0140 | Limited oral evaluation - problem focused | 15% | 941 | 837 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 212 | 122 | $26K |
| D1110 | Prophylaxis - adult | 7.7% | 455 | 445 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 675 | 667 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 317 | 308 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 744 | 682 | $11K |
| D9110 | 4.6% | 235 | 217 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 614 | 599 | $10K |
| D0274 | Bitewings - four radiographic images | 3.7% | 268 | 262 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 290 | 284 | $8K |
| D0330 | Panoramic radiographic image | 2.2% | 92 | 89 | $5K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 60 | $5K |
| D2332 | 1.9% | 46 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 335 | $4K |
| D2394 | 1.2% | 16 | $3K | |
| D2335 | 1.1% | 22 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 33 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 25 | $464.40 |
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.
From NPPES
Who's on the registration
Authorized officialWOLFF, SHAWN (OWNER/DOCTOR)