Dental
Rubencillo H Santos DDS INC
Rubencillo H Santos DDS INC was paid $3.15M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoRUBENCILLO H SANTOS DDS INC
MODESTO, CA 95351
MODESTO, CA 95351
33aNPI1073979472assigned 01/14/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$3.15M
24GClaims87,612
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#181 of 2,668
Median peer was paid$173K
This provider vs. median18×
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 | 8,902 | $279K | |
| 2019 | 11,091 | $394K | |
| 2020 | 10,680 | $375K | |
| 2021 | 14,687 | $475K | |
| 2022 | 14,310 | $509K | |
| 2023 | 14,095 | $543K | |
| 2024incomplete | 13,847 | $574K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 8,816 | 2,692 | $470K |
| D1110 | Prophylaxis - adult | 12% | 4,314 | 4,300 | $372K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,770 | 5,741 | $356K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 4,644 | 4,631 | $299K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 5,567 | 5,534 | $230K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 4,183 | 4,170 | $194K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 2,394 | 1,210 | $158K |
| D2740 | Crown - porcelain/ceramic | 5.0% | 332 | 239 | $158K |
| D1206 | Topical application of fluoride varnish | 4.5% | 9,850 | 9,792 | $143K |
| D1351 | Sealant - per tooth | 4.2% | 4,651 | 1,371 | $133K |
| D0274 | Bitewings - four radiographic images | 3.2% | 4,855 | 4,832 | $101K |
| D2330 | 3.1% | 1,304 | 697 | $98K |
13 more codes
| D9430 | 2.7% | 2,727 | $86K | |
| D0350 | 2.5% | 7,541 | $79K | |
| D4910 | 2.2% | 891 | $68K | |
| D4341 | 2.1% | 923 | $65K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 14,725 | $59K |
| D1320 | 1.4% | 2,650 | $44K | |
| D2954 | <1% | 140 | $15K | |
| D0272 | Bitewings - two radiographic images | <1% | 759 | $9K |
| D1310 | <1% | 112 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 300 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 39 | $3K |
| D0603 | <1% | 112 | $2K | |
| D9993 | 0% | 13 | $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 officialSANTOS, RUBENCILLO (PRESIDENT)