Dental
Ingrid Mack Cruz DDS a Professional Dental Corporation
Ingrid Mack Cruz DDS a Professional Dental Corporation was paid $237K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoINGRID MACK CRUZ DDS A PROFESSIONAL DENTAL CORPORATION
ONTARIO, CA 91761
ONTARIO, CA 91761
33aNPI1114206828assigned 08/11/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$237K
24GClaims16,130
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,217 of 2,668
Median peer was paid$173K
This provider vs. median1.4×
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 | 3,334 | $45K | |
| 2019 | 3,221 | $46K | |
| 2020 | 2,648 | $38K | |
| 2021 | 2,219 | $29K | |
| 2022 | 1,938 | $35K | |
| 2023 | 1,427 | $22K | |
| 2024incomplete | 1,343 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 1,143 | 1,131 | $59K |
| D9430 | 24% | 1,842 | 1,634 | $58K | |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 8,919 | 2,307 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 722 | 714 | $24K |
| D0274 | Bitewings - four radiographic images | 5.8% | 673 | 664 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 1,163 | 1,081 | $14K |
| D1110 | Prophylaxis - adult | 4.4% | 123 | 123 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 806 | 797 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 97 | 94 | $5K |
| D1320 | 1.4% | 288 | 283 | $3K | |
| D1206 | Topical application of fluoride varnish | 1.2% | 183 | 183 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 35 | 12 | $2K |
4 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 officialMACK CRUZ, INGRID (DENTIST)