Managed care
Santos Dental Corporation
Santos Dental Corporation was paid $301K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoSANTOS DENTAL CORPORATION
SAN FRANCISCO, CA 94108
SAN FRANCISCO, CA 94108
33aNPI1164661773assigned 02/05/2009
33bProvider typeExclusive Provider Organization
28Total paid$301K
24GClaims7,422
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#17 of 55
Median peer was paid$90K
This provider vs. median3.3×
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 | 1,864 | $66K | |
| 2019 | 529 | $26K | |
| 2020 | 668 | $31K | |
| 2021 | 932 | $40K | |
| 2022 | 1,186 | $43K | |
| 2023 | 1,137 | $48K | |
| 2024incomplete | 1,106 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,509 | 1,499 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 1,318 | 1,313 | $75K |
| D1206 | Topical application of fluoride varnish | 9.4% | 1,886 | 1,884 | $28K |
| D0330 | Panoramic radiographic image | 9.1% | 947 | 943 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 287 | 285 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 396 | 394 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 33 | 12 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 827 | 424 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 123 | 123 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 69 | 65 | $828.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 14 | 14 | $735.00 |
| D9430 | <1% | 13 | 12 | $416.00 |
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 officialSANTOS, EDNA (DENTIST, OWNER)