Dental
Dignity Dental Care SR Corp
Dignity Dental Care SR Corp was paid $442K by Medicaid between Feb 2024 and Dec 2024, across 14 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoDIGNITY DENTAL CARE SR CORP
SAN JOSE, CA 95127
SAN JOSE, CA 95127
33aNPI1164161931assigned 05/31/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$442K
24GClaims8,040
24DCodes billed14
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#939 of 2,668
Median peer was paid$173K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2024incomplete | 8,040 | $442K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 1,978 | 670 | $107K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,282 | 584 | $86K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 842 | 840 | $55K |
| D1110 | Prophylaxis - adult | 10% | 509 | 508 | $45K |
| D2330 | 9.8% | 544 | 253 | $43K | |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 523 | 523 | $25K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 288 | 189 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.7% | 181 | 115 | $21K |
| D1206 | Topical application of fluoride varnish | 2.9% | 740 | 739 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 229 | 229 | $12K |
| D9430 | 1.1% | 152 | 151 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 191 | 189 | $4K |
2 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 officialRODRIGUEZ, CAROLINA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lucy Park Emergency Physicians PLLC | Wichita Falls, TX | $304K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.