Dental
Interdental Care
Interdental Care was paid $62K by Medicaid between Jan 2018 and Sep 2019, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoINTERDENTAL CARE
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
33aNPI1093840696assigned 02/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$62K
24GClaims7,128
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,718 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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 | 4,389 | $43K | |
| 2019 | 2,739 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 436 | 276 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,028 | 1,009 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 538 | 534 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 1,097 | 1,064 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.4% | 129 | 94 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.8% | 1,991 | 933 | $5K |
| D1110 | Prophylaxis - adult | 5.8% | 203 | 200 | $4K |
| D0274 | Bitewings - four radiographic images | 5.6% | 576 | 563 | $3K |
| D1351 | Sealant - per tooth | 3.9% | 179 | 44 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 106 | 104 | $980.00 |
| D0330 | Panoramic radiographic image | 1.4% | 94 | 90 | $855.00 |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 21 | 12 | $772.00 |
3 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 officialGUERRA, MARIANO (DENTIST)