Dental
Don Schubothe Dental, INC.
Don Schubothe Dental, INC. was paid $2K by Medicaid between Jan 2018 and Jan 2021, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 63% of everything it billed.
33Billing provider infoDON SCHUBOTHE DENTAL, INC.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1114140506assigned 04/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims118
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,421 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | 75 | $1K | |
| 2019 | 13 | $858.00 | |
| 2021 | 30 | $125.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 63% | 30 | 30 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 26% | 15 | 15 | $600.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 73 | 27 | $260.55 |
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 officialSCHUBOTHE, DON (PRESIDENT)