Central Coast Pediatric Dental Group

Central Coast Pediatric Dental Group was paid $26.38M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.

33Billing provider infoCENTRAL COAST PEDIATRIC DENTAL GROUP
SALINAS, CA 93901

33aNPI1033242144assigned 03/14/2007

33bProvider typePediatric Dentist

28Total paid$26.38M

24GClaims717,055

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#6 of 332

Median peer was paid$450K

This provider vs. median59×

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	95,551	$3.17M
2019	117,468	$4.35M
2020	89,381	$3.22M
2021	112,690	$3.93M
2022	104,348	$4.08M
2023	105,268	$4.05M
2024incomplete	92,349	$3.58M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	88,502	88,213	$4.78M
D2930	Prefabricated stainless steel crown - primary tooth	16%	37,432	9,961	$4.26M
D1120	Dental cleaning, childProphylaxis - child	15%	107,404	107,008	$4.00M
D1310		7.0%	40,064	39,904	$1.84M
D1206	Topical application of fluoride varnish	5.9%	105,869	105,479	$1.54M
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	5.6%	15,549	5,645	$1.49M
D9993		4.5%	18,316	18,311	$1.18M
D1351	Sealant - per tooth	4.1%	40,393	10,709	$1.09M
D2150	Silver amalgam - two surfaces, primary or permanent	3.5%	14,432	6,587	$911K
D7111		2.9%	13,479	6,520	$768K
D0145	Oral evaluation for a patient under three years of age	2.2%	9,550	9,529	$579K
D0150	Comprehensive oral evaluation - new or established patient	2.0%	8,332	8,291	$538K

22 more codes

D9248		1.7%	13,691	$455K
D0272	Bitewings - two radiographic images	1.6%	38,684	$433K
D0603		1.6%	27,589	$409K
D2140		1.4%	6,998	$361K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.4%	14,387	$359K
D0230	Intraoral - periapical each additional radiographic image	<1%	61,988	$256K
D0330	Panoramic radiographic image	<1%	6,076	$172K
D0350		<1%	15,571	$167K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	3,062	$155K
D0274	Bitewings - four radiographic images	<1%	6,657	$125K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	1,821	$111K
D0210	Intraoral - complete series of radiographic images	<1%	2,453	$110K
D0601		<1%	6,249	$92K
D0220	Intraoral - periapical first radiographic image	<1%	6,971	$78K
D0602		<1%	3,596	$53K
D9430		<1%	1,522	$47K
D2160		<1%	123	$9K
D2330		<1%	94	$6K
D1510		<1%	14	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	15	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	37	$674.60
D0270		<1%	135	$642.50

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 officialLIZAOLA, ANNA (ADMINISTRATIVE ASSISTANT)

Same official

Other billing entities under LIZAOLA, ANNA

Full network →

Provider	Location	Paid
Central Coast Pediatric Dental Group	Salinas, CA	$51.43M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.