Dental
DR Rusen Empire Friendly Smiles Dental INC
DR Rusen Empire Friendly Smiles Dental INC was paid $86K by Medicaid between Apr 2022 and Sep 2024, across 12 billing codes. Its largest line is D0350, — 25% of everything it billed.
33Billing provider infoDR RUSEN EMPIRE FRIENDLY SMILES DENTAL INC
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
33aNPI1083296941assigned 04/21/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$86K
24GClaims7,179
24DCodes billed12
24AFirst – last monthApr 2022 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,616 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 | |
|---|---|---|---|
| 2022 | 4,216 | $59K | |
| 2023 | 2,450 | $24K | |
| 2024incomplete | 513 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0350 | 25% | 2,563 | 602 | $22K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 302 | 281 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 3,255 | 602 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 112 | 112 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 81 | 50 | $5K |
| D0274 | Bitewings - four radiographic images | 6.3% | 253 | 235 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 240 | 232 | $4K |
| D9430 | 3.5% | 96 | 85 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 206 | 170 | $2K |
| D9110 | 2.6% | 35 | 12 | $2K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 17 | 17 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 19 | 19 | $228.00 |
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 officialRUSEN, RARES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR. Rusen Victorville Friendly Smiles Dental INC. | Victorville, CA | $156K |
| DR Rusen Elsinore Friendly Smiles Dental INC | Lake Elsinore, CA | $141K |
| DR Rusen Barstow Friendly Smiles Dental INC | Barstow, CA | $120K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.