Dental
Kingsburg Family Dental
Kingsburg Family Dental was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoKINGSBURG FAMILY DENTAL
KINGSBURG, CA 93631
KINGSBURG, CA 93631
33aNPI1104074400assigned 08/29/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$2.46M
24GClaims107,180
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#232 of 2,668
Median peer was paid$173K
This provider vs. median14×
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 | 12,683 | $233K | |
| 2019 | 17,328 | $327K | |
| 2020 | 13,631 | $310K | |
| 2021 | 17,754 | $420K | |
| 2022 | 15,341 | $372K | |
| 2023 | 17,200 | $477K | |
| 2024incomplete | 13,243 | $318K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 9,502 | 9,493 | $507K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 11,105 | 11,073 | $414K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.8% | 3,699 | 1,968 | $241K |
| D2160 | 8.2% | 2,560 | 1,451 | $201K | |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 42,500 | 9,931 | $179K |
| D1310 | 4.9% | 2,611 | 2,598 | $119K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 8,821 | 8,791 | $95K |
| D9993 | 3.6% | 1,406 | 1,406 | $88K | |
| D9110 | 3.5% | 1,398 | 1,378 | $86K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 3,587 | 3,586 | $74K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 1,497 | 1,444 | $59K |
| D0272 | Bitewings - two radiographic images | 2.2% | 5,222 | 5,202 | $55K |
18 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 852 | $53K |
| D1206 | Topical application of fluoride varnish | 1.8% | 2,183 | $44K |
| D0603 | 1.3% | 2,171 | $32K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 542 | $30K |
| D1351 | Sealant - per tooth | 1.1% | 1,150 | $28K |
| D2161 | <1% | 291 | $24K | |
| D9430 | <1% | 730 | $23K | |
| D2140 | <1% | 401 | $21K | |
| D0350 | <1% | 1,990 | $20K | |
| D0330 | Panoramic radiographic image | <1% | 649 | $19K |
| D1354 | <1% | 1,398 | $13K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 220 | $12K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 182 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 59 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 325 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $2K |
| D0601 | <1% | 26 | $390.00 | |
| D0270 | <1% | 72 | $350.00 |
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 officialKY, VEROCK (GENERAL DENTIST)