Dental
Soraya Acevedo DDS, INC.
Soraya Acevedo DDS, INC. was paid $181K by Medicaid between Apr 2019 and Nov 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 50% of everything it billed.
33Billing provider infoSORAYA ACEVEDO DDS, INC.
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1013484237assigned 10/25/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$181K
24GClaims3,601
24DCodes billed10
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,319 of 2,668
Median peer was paid$173K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 134 | $7K | |
| 2020 | 609 | $30K | |
| 2021 | 560 | $30K | |
| 2022 | 661 | $32K | |
| 2023 | 691 | $35K | |
| 2024incomplete | 946 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 50% | 1,370 | 1,358 | $90K |
| D0210 | Intraoral - complete series of radiographic images | 33% | 1,264 | 1,253 | $59K |
| D1110 | Prophylaxis - adult | 5.4% | 114 | 114 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 96 | 40 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 66 | 66 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 55 | 54 | $3K |
| D0350 | 1.3% | 265 | 262 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 117 | 117 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 28 | 13 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 226 | 118 | $923.48 |
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 officialACEVEDO, LIDYA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Acevedo Dental Office, INC. | Santa Ana, CA | $154K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.