Dental
Sidney R Gallegos DDS
Sidney R Gallegos DDS was paid $2.56M by Medicaid between Jan 2018 and Jul 2023, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoSIDNEY R GALLEGOS DDS
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1992850234assigned 01/25/2007
33bProvider typePediatric Dentist
28Total paid$2.56M
24GClaims111,001
24DCodes billed24
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#37 of 156
Median peer was paid$337K
This provider vs. median7.6×
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 | 24,161 | $552K | |
| 2019 | 21,149 | $467K | |
| 2020 | 16,958 | $350K | |
| 2021 | 19,081 | $420K | |
| 2022 | 17,697 | $402K | |
| 2023 | 11,955 | $367K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 17,958 | 17,454 | $423K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 15,103 | 14,683 | $330K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 4,727 | 2,593 | $314K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 18,621 | 18,067 | $304K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 3,270 | 1,745 | $170K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 2,943 | 1,630 | $164K |
| D1110 | Prophylaxis - adult | 5.8% | 4,102 | 3,956 | $147K |
| D9999 | Unspecified adjunctive procedure, by report | 3.9% | 3,699 | 3,603 | $100K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 839 | 349 | $96K |
| D1351 | Sealant - per tooth | 3.3% | 4,068 | 1,191 | $86K |
| D0272 | Bitewings - two radiographic images | 2.9% | 7,602 | 7,384 | $75K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 8,766 | 8,454 | $68K |
12 more codes
| D9920 | 2.5% | 2,294 | $64K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 2,398 | $48K |
| D0330 | Panoramic radiographic image | 1.5% | 961 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 947 | $37K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,471 | $29K |
| D1999 | 1.1% | 2,344 | $29K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,507 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 153 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 100 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 88 | $1K |
| D9992 | <1% | 19 | $270.00 |
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.
From NPPES
Who's on the registration
Authorized officialGALLEGOS, SIDNEY (OWNER)