Dental
Southwest Dental Center INC.
Southwest Dental Center INC. was paid $105K by Medicaid between Jan 2018 and Sep 2022, across 24 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoSOUTHWEST DENTAL CENTER INC.
PALMDALE, CA 93550
PALMDALE, CA 93550
33aNPI1013134808assigned 04/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims17,826
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,535 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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 | 6,148 | $17K | |
| 2019 | 5,252 | $16K | |
| 2020 | 2,448 | $15K | |
| 2021 | 2,074 | $21K | |
| 2022 | 1,904 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 1,032 | 910 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,914 | 1,636 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,676 | 1,510 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 1,115 | 989 | $9K |
| D9999 | Unspecified adjunctive procedure, by report | 6.6% | 63 | 63 | $7K |
| D1351 | Sealant - per tooth | 6.1% | 308 | 85 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 4,068 | 2,160 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 5.2% | 667 | 585 | $5K |
| D1110 | Prophylaxis - adult | 4.6% | 415 | 348 | $5K |
| D9430 | 3.7% | 1,024 | 816 | $4K | |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,318 | 1,123 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 2,117 | 1,733 | $3K |
12 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 90 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.4% | 137 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 81 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 58 | $964.60 |
| D0330 | Panoramic radiographic image | <1% | 102 | $414.00 |
| D0272 | Bitewings - two radiographic images | <1% | 289 | $362.00 |
| D4341 | <1% | 36 | $250.00 | |
| D1320 | <1% | 20 | $127.50 | |
| D1999 | <1% | 116 | $40.00 | |
| D0270 | <1% | 12 | $22.00 | |
| D9910 | 0% | 47 | $0.00 | |
| D1330 | 0% | 1,121 | $0.00 |
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 officialGORDON, LEONEED (PRESIDENT CEO)