Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Ramirez Pediatric Dental Corp

Ramirez Pediatric Dental Corp was paid $3.91M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.

33Billing provider infoRAMIREZ PEDIATRIC DENTAL CORP
SAN DIMAS, CA 91773
33aNPI1104375757assigned 09/23/2016
33bProvider typePediatric Dentist
28Total paid$3.91M
24GClaims168,844
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#70 of 332
Median peer was paid$450K
This provider vs. median8.7×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,941$76K
201914,550$291K
202017,232$368K
202128,284$660K
202230,077$680K
202337,814$887K
2024incomplete36,946$946K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 7,832 7,799 $498K
D1120 Dental cleaning, childProphylaxis - child 13% 11,872 11,825 $494K
D1310 8.8% 11,725 11,678 $342K
D2930 Prefabricated stainless steel crown - primary tooth 8.4% 2,787 1,081 $328K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 7.1% 2,860 1,037 $279K
D1208 Topical application of fluoride, excluding varnish 5.4% 11,496 11,449 $212K
D0230 Intraoral - periapical each additional radiographic image 4.6% 44,907 10,657 $181K
D9993 4.6% 11,730 11,683 $180K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.6% 2,745 1,237 $179K
D0150 Comprehensive oral evaluation - new or established patient 4.3% 2,519 2,512 $169K
D9920 4.1% 1,172 1,147 $160K
D0145 Oral evaluation for a patient under three years of age 3.2% 1,847 1,840 $125K
22 more codes
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 2.4% 432 $95K
D0272 Bitewings - two radiographic images 2.1% 7,222 $84K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.9% 952 $76K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 1,733 $70K
D0603 1.8% 7,452 $70K
D0350 1.8% 7,352 $69K
D7140 Extraction, erupted tooth or exposed root 1.8% 1,270 $69K
D1351 Sealant - per tooth 1.3% 1,695 $52K
D0602 1.2% 4,297 $46K
D9248 <1% 643 $28K
D0274 Bitewings - four radiographic images <1% 1,115 $23K
D9222 <1% 140 $17K
D2330 <1% 210 $16K
D9610 <1% 469 $12K
D0220 Intraoral - periapical first radiographic image <1% 960 $11K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 106 $7K
D1999 <1% 7,375 $7K
D9430 <1% 113 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 62 $3K
D9110 <1% 27 $2K
D1354 <1% 51 $612.00
D1330 0% 11,676 $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 officialRAMIREZ, CORINA (PRESIDENT)