GORDON DENTAL ASSOCIATES, LTD.
NPI 1932372547, organization, Olympia Fields, IL, Dentist, General Practice
- Listed on the KY Medicaid exclusion list since February 17, 2021.
- Medicaid still paid claims in 35 later months, $323,243 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| KY Medicaid exclusion list state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap) | Exact NPI, name verified | Feb 17, 2021 | still open | 35 | Oct 2021 | Nov 2024 | $323K | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GORDON DENTAL ASSOCIATES, LTD. |
| Type | Organization |
| Status | Active |
| NPI issued | April 4, 2008, last updated April 4, 2008 |
| Practice location | 2555 LINCOLN HWY, SUITE 109, Olympia Fields, IL 60461-1936, 708-679-0668 |
| Authorized official | RONNIE GORDON (Business Development) |
| Specialties | Dentist, General Practice (1223G0001X, primary, license 019024669 IL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| D1120 | Medicaid service code | $269K | 33% | $42 | $34 (top 5% from $51) | 73rd percentile | |
| D0120 | Medicaid service code | $259K | 32% | $31 | $26 (top 5% from $63) | 66th percentile | |
| D1206 | Medicaid service code | $163K | 20% | $26 | $18 (top 5% from $32) | 75th percentile | |
| D1351 | Medicaid service code | $122K | 15% | $115 | $97 (top 5% from $176) | 58th percentile | |
| D0601 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $15) | 0th percentile | |
| D0603 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $15) | 0th percentile | |
| D0602 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $15) | too few months to rank |
In this area
226 providers in Cook County, IL carry an indicator in the public record, with $140.5M at stake between them. The most common is part of a provider network, on 112 of them, followed by more hours than a day holds on 92. 16 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | FA 1ST SOLUTIONS Chicago, IL, ranked 21 | $43K |
|
| 1 | HISHAM SADEK Chicago, IL, ranked 51 | $2.0M |
|
| 1 | RAPID HEALTHCARE LABORATORY LLC Elgin, IL, ranked 94 | $369K |
|
| 1 | TAMMY DOBBIN Chicago, IL, ranked 134 | $127K |
|
| 1 | KENNETH PELEHAC Oak Lawn, IL, ranked 294 | $9K |
|
| 1 | MASTURA ZALWANGO Skokie, IL, ranked 302 | $8K |
|
| 1 | WESTERN LABS COMPANY Chicago, IL, ranked 311 | $6K |
|
| 1 | SABA OSMANI LA Grange Highlands, IL, ranked 331 | $4K |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.