Clinic
Manolet Santos DDS Professional Dental Corporation
Manolet Santos DDS Professional Dental Corporation was paid $415K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 31% of everything it billed.
33Billing provider infoMANOLET SANTOS DDS PROFESSIONAL DENTAL CORPORATION
HUNTINGTON BEACH, CA 92646
HUNTINGTON BEACH, CA 92646
33aNPI1134589070assigned 03/04/2016
33bProvider typeDental Clinic/Center
28Total paid$415K
24GClaims6,999
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#423 of 1,135
Median peer was paid$200K
This provider vs. median2.1×
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 | 978 | $34K | |
| 2019 | 776 | $31K | |
| 2020 | 417 | $16K | |
| 2021 | 769 | $29K | |
| 2022 | 954 | $39K | |
| 2023 | 1,424 | $138K | |
| 2024incomplete | 1,681 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 31% | 274 | 150 | $130K |
| D4910 | 18% | 983 | 968 | $75K | |
| D9430 | 15% | 1,930 | 1,622 | $61K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 813 | 813 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 499 | 498 | $28K |
| D2954 | 5.5% | 219 | 115 | $23K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 330 | 329 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 258 | 257 | $12K |
| D4341 | 2.5% | 151 | 44 | $11K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.9% | 17 | 12 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 463 | 463 | $6K |
| D0274 | Bitewings - four radiographic images | 1.4% | 294 | 293 | $6K |
3 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 officialSANTOS, MANOLET (PRESIDENT)