Clinic
Sergio P. Saucedo DDS INC.
Sergio P. Saucedo DDS INC. was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 27% of everything it billed.
33Billing provider infoSERGIO P. SAUCEDO DDS INC.
RIVERSIDE, CA 92507
RIVERSIDE, CA 92507
33aNPI1124324561assigned 02/02/2011
33bProvider typeDental Clinic/Center
28Total paid$1.53M
24GClaims34,572
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#169 of 1,135
Median peer was paid$200K
This provider vs. median7.6×
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 | 1,951 | $47K | |
| 2019 | 2,107 | $57K | |
| 2020 | 2,857 | $68K | |
| 2021 | 6,553 | $250K | |
| 2022 | 7,898 | $384K | |
| 2023 | 6,162 | $330K | |
| 2024incomplete | 7,044 | $394K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 27% | 888 | 835 | $410K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 3,439 | 3,426 | $222K |
| D0210 | Intraoral - complete series of radiographic images | 8.9% | 2,916 | 2,908 | $136K |
| D2740 | Crown - porcelain/ceramic | 8.2% | 266 | 174 | $126K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 1,865 | 847 | $124K |
| D9430 | 5.1% | 2,495 | 2,421 | $79K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 1,190 | 1,189 | $71K |
| D4910 | 3.2% | 637 | 635 | $49K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 10,943 | 2,977 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 693 | 332 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 3,122 | 3,053 | $37K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.4% | 311 | 150 | $36K |
13 more codes
| D0350 | 1.9% | 2,860 | $30K | |
| D2954 | 1.7% | 253 | $26K | |
| D0330 | Panoramic radiographic image | 1.6% | 891 | $25K |
| D4341 | 1.6% | 356 | $25K | |
| D1120 | Dental cleaning, child | 1.6% | 610 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 95 | $8K |
| D3320 | <1% | 20 | $7K | |
| D3348 | <1% | 12 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 373 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 192 | $2K |
| D3221 | <1% | 25 | $2K | |
| D0270 | <1% | 99 | $495.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 21 | $410.40 |
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 officialSAUCEDO, SERGIO (DDS)