Clinic
Lourdes Cardoso DDS INC.
Lourdes Cardoso DDS INC. was paid $4K by Medicaid between Oct 2020 and May 2022, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoLOURDES CARDOSO DDS INC.
RANCHO CUCAMONGA, CA 91739
RANCHO CUCAMONGA, CA 91739
33aNPI1205482536assigned 08/13/2019
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims152
24DCodes billed5
24AFirst – last monthOct 2020 – May 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,049 of 1,135
Median peer was paid$200K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 96 | $1K | |
| 2021 | 12 | $163.00 | |
| 2022 | 44 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 12 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 16 | 16 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 15 | 15 | $787.50 |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 42 | 42 | $568.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 67 | 12 | $291.60 |
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 officialCARDOSO, LOURDES (OWNER/CEO)
Parent organizationLOURDES CARDOSO DDS INC.
| Provider | Location | Paid |
|---|---|---|
| Lourdes Cardoso DDS INC. | Ontario, CA | $1.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.