Dental
A Rincon DDS INC
A Rincon DDS INC was paid $88K by Medicaid between Jan 2020 and Mar 2022, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoA RINCON DDS INC
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
33aNPI1053960575assigned 09/06/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$88K
24GClaims4,276
24DCodes billed12
24AFirst – last monthJan 2020 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,604 of 2,668
Median peer was paid$173K
This provider vs. median0.5×
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 | 1,080 | $15K | |
| 2021 | 2,446 | $59K | |
| 2022 | 750 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 281 | 281 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 17% | 2,047 | 729 | $15K |
| D0350 | 16% | 650 | 392 | $14K | |
| D9110 | 13% | 183 | 104 | $12K | |
| D9430 | 7.7% | 213 | 187 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 98 | 58 | $7K |
| D0274 | Bitewings - four radiographic images | 6.5% | 279 | 279 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 249 | 224 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 81 | 81 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 154 | 154 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 26 | 26 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | 13 | $819.00 |
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 officialWELBOURNE, MARIA (OFFICE MANAGER)