Gomez, Martha

Gomez, Martha was paid $16K by Medicaid between Jan 2018 and Mar 2018, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 33% of everything it billed.

33Billing provider infoGOMEZ, MARTHA
QUINCY, MI 49082

33aNPI1982621538assigned 07/17/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims392

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#754 of 1,554

Median peer was paid$15K

This provider vs. median1.1×

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	392	$16K

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	33%	44	29	$5K
D1120	Dental cleaning, childProphylaxis - child	21%	101	101	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	105	105	$3K
D1208	Topical application of fluoride, excluding varnish	13%	101	101	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.7%	16	13	$2K
D0210	Intraoral - complete series of radiographic images	6.4%	13	13	$1K
D1206	Topical application of fluoride varnish	1.5%	12	12	$250.00

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.