Dental
Pedro M Sandoval DDS Corporation
Pedro M Sandoval DDS Corporation was paid $226K by Medicaid between Jul 2018 and Nov 2024, across 19 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoPEDRO M SANDOVAL DDS CORPORATION
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1043590060assigned 08/22/2011
33bProvider typeDentist
28Total paid$226K
24GClaims7,251
24DCodes billed19
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,082 of 2,314
Median peer was paid$185K
This provider vs. median1.2×
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 | 115 | $7K | |
| 2019 | 951 | $31K | |
| 2020 | 345 | $11K | |
| 2021 | 1,003 | $28K | |
| 2022 | 1,434 | $32K | |
| 2023 | 1,121 | $21K | |
| 2024incomplete | 2,282 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 714 | 714 | $47K |
| D2751 | Crown - porcelain fused to predominantly base metal | 17% | 83 | 57 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 330 | 328 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 387 | 114 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 7.8% | 380 | 380 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 256 | 101 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 3,196 | 778 | $13K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.3% | 16 | 14 | $7K |
| D0350 | 3.2% | 857 | 202 | $7K | |
| D0274 | Bitewings - four radiographic images | 2.8% | 310 | 310 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 131 | 126 | $6K |
| D2954 | 2.7% | 58 | 43 | $6K |
7 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 342 | $5K |
| D4341 | 1.8% | 58 | $4K | |
| D4910 | 1.3% | 39 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 33 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | $336.00 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $168.00 |
| D1999 | 0% | 19 | $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 officialSANDOVAL, PEDRO (PRESIDENT)