Dental
Anna M Mendoza DDS INC
Anna M Mendoza DDS INC was paid $115K by Medicaid between Dec 2019 and Oct 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoANNA M MENDOZA DDS INC
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1134685688assigned 02/20/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$115K
24GClaims4,818
24DCodes billed13
24AFirst – last monthDec 2019 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,496 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 33 | $2K | |
| 2020 | 170 | $6K | |
| 2021 | 1,393 | $46K | |
| 2022 | 1,685 | $38K | |
| 2023 | 970 | $15K | |
| 2024incomplete | 567 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 218 | 218 | $18K |
| D9430 | 15% | 539 | 470 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 199 | 199 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.8% | 206 | 80 | $11K |
| D1110 | Prophylaxis - adult | 9.2% | 118 | 118 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 169 | 169 | $8K |
| D1206 | Topical application of fluoride varnish | 6.5% | 475 | 475 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 1,804 | 409 | $7K |
| D0274 | Bitewings - four radiographic images | 6.3% | 336 | 336 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 99 | 49 | $7K |
| D0350 | 5.2% | 627 | 188 | $6K | |
| D4910 | <1% | 13 | 13 | $924.00 |
1 more codes
| D9910 | <1% | 15 | $903.00 |
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 officialMENDOZA, ANNA (PRESIDENT/OWNER)