Clinic
Ricuccio A. Negom DDS, a Professioal Dental Corporation
Ricuccio A. Negom DDS, a Professioal Dental Corporation was paid $3K by Medicaid between Jan 2018 and Apr 2019, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoRICUCCIO A. NEGOM DDS, A PROFESSIOAL DENTAL CORPORATION
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1134399892assigned 03/09/2008
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims97
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,068 of 1,135
Median peer was paid$200K
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 | 85 | $2K | |
| 2019 | 12 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 28 | 28 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 28 | 28 | $945.00 |
| D0274 | Bitewings - four radiographic images | 7.4% | 12 | 12 | $216.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 29 | 14 | $120.00 |
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 officialNEGOM, RICUCCIO (OWNER, DIRECTOR, OFFICER)