Dental
Sergio Moncada DDS INC
Sergio Moncada DDS INC was paid $816K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSERGIO MONCADA DDS INC
SANTA ANA, CA 92703
SANTA ANA, CA 92703
33aNPI1154404655assigned 10/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$816K
24GClaims30,705
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#657 of 2,668
Median peer was paid$173K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2018 | 3,985 | $84K | |
| 2019 | 4,213 | $111K | |
| 2020 | 3,291 | $89K | |
| 2021 | 5,085 | $107K | |
| 2022 | 4,433 | $129K | |
| 2023 | 4,576 | $130K | |
| 2024incomplete | 5,122 | $167K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 3,068 | 3,062 | $157K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 2,148 | 1,043 | $116K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,372 | 2,367 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,333 | 744 | $89K |
| D1110 | Prophylaxis - adult | 9.4% | 911 | 910 | $77K |
| D0274 | Bitewings - four radiographic images | 5.6% | 2,159 | 2,154 | $46K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 868 | 867 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 3,508 | 3,499 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 8,524 | 1,796 | $35K |
| D9430 | 4.1% | 1,058 | 1,020 | $33K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 455 | 453 | $28K |
| D0350 | 3.1% | 2,682 | 1,006 | $26K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 266 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,076 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 90 | $7K |
| D9110 | <1% | 35 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 132 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 20 | $1K |
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 officialMONCADA, SERGIO (PRESIDENT/OWNER)