Clinic
Imelda D Soto DDS INC
Imelda D Soto DDS INC was paid $195K by Medicaid between Feb 2020 and Dec 2024, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.
33Billing provider infoIMELDA D SOTO DDS INC
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1053870162assigned 03/18/2019
33bProvider typeDental Clinic/Center
28Total paid$195K
24GClaims4,708
24DCodes billed16
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#576 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2020 | 81 | $5K | |
| 2021 | 131 | $7K | |
| 2022 | 775 | $34K | |
| 2023 | 1,402 | $53K | |
| 2024incomplete | 2,319 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 824 | 819 | $54K |
| D0210 | Intraoral - complete series of radiographic images | 17% | 715 | 710 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 327 | 192 | $21K |
| D9430 | 9.0% | 559 | 479 | $18K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 8.0% | 33 | 25 | $16K |
| D1110 | Prophylaxis - adult | 6.0% | 134 | 134 | $12K |
| D1206 | Topical application of fluoride varnish | 4.3% | 538 | 534 | $8K |
| D0330 | Panoramic radiographic image | 3.5% | 231 | 229 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 89 | 88 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 110 | 110 | $5K |
| D4341 | 2.7% | 75 | 28 | $5K | |
| D0350 | 1.8% | 375 | 165 | $4K |
4 more codes
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 officialSOTO, IMELDA (PRESIDENT)