Ca Gonzalez Dental Corp

Ca Gonzalez Dental Corp was paid $41K by Medicaid between Jan 2024 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.

33Billing provider infoCA GONZALEZ DENTAL CORP
LINCOLN, CA 95648

33aNPI1992427082assigned 09/15/2022

33bProvider typePediatric Dentist

28Total paid$41K

24GClaims1,247

24DCodes billed10

24AFirst – last monthJan 2024 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#256 of 332

Median peer was paid$450K

This provider vs. median0.1×

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
2024incomplete	1,247	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	38%	317	317	$16K
D0150	Comprehensive oral evaluation - new or established patient	19%	123	123	$8K
D1206	Topical application of fluoride varnish	16%	287	287	$6K
D1310		15%	132	132	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.5%	54	54	$2K
D0272	Bitewings - two radiographic images	2.0%	70	70	$816.00
D0230	Intraoral - periapical each additional radiographic image	1.8%	186	95	$741.15
D0603		1.4%	39	39	$571.00
D9430		<1%	12	12	$384.00
D0350		<1%	27	12	$259.20

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 officialGONZALEZ, CUAUHTEMOC (PRESIDENT)