Dental
Barstow Family Dental
Barstow Family Dental was paid $138K by Medicaid between Jan 2018 and Mar 2022, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoBARSTOW FAMILY DENTAL
BARSTOW, CA 92311
BARSTOW, CA 92311
33aNPI1093947814assigned 08/12/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$138K
24GClaims5,899
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,421 of 2,668
Median peer was paid$173K
This provider vs. median0.8×
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 | 1,401 | $30K | |
| 2019 | 1,338 | $33K | |
| 2020 | 1,048 | $25K | |
| 2021 | 1,613 | $34K | |
| 2022 | 499 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 795 | 790 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 2,044 | 1,319 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 713 | 713 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 337 | 337 | $20K |
| D0274 | Bitewings - four radiographic images | 7.9% | 524 | 524 | $11K |
| D9430 | 5.9% | 257 | 224 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 839 | 838 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 104 | 104 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 50 | 29 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.4% | 28 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 208 | 200 | $2K |
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 officialOLAFSEN, GREGORY (D.D.S.)
Parent organizationBARSTOW FAMILY DENTAL
| Provider | Location | Paid |
|---|---|---|
| Elite Dental Services | Apple Valley, CA | $214K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.