Dental
Central Coast Pediatric Dental Group
Central Coast Pediatric Dental Group was paid $51.43M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoCENTRAL COAST PEDIATRIC DENTAL GROUP
SALINAS, CA 93906
SALINAS, CA 93906
33aNPI1205922705assigned 10/04/2006
33bProvider typePediatric Dentist
28Total paid$51.43M
24GClaims1,389,460
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#1 of 332
Median peer was paid$450K
This provider vs. median114×
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 | 185,095 | $6.05M | |
| 2019 | 209,633 | $7.33M | |
| 2020 | 169,415 | $5.92M | |
| 2021 | 215,034 | $7.58M | |
| 2022 | 199,901 | $8.13M | |
| 2023 | 211,474 | $8.49M | |
| 2024incomplete | 198,908 | $7.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 165,628 | 165,197 | $9.06M |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 200,689 | 200,119 | $7.66M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 64,653 | 18,955 | $7.45M |
| D1310 | 6.9% | 77,041 | 76,799 | $3.53M | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.5% | 34,277 | 12,625 | $3.32M |
| D1206 | Topical application of fluoride varnish | 5.9% | 200,182 | 199,618 | $3.01M |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.0% | 39,431 | 18,692 | $2.55M |
| D9993 | 4.2% | 33,810 | 33,794 | $2.18M | |
| D1351 | Sealant - per tooth | 4.1% | 75,272 | 19,798 | $2.11M |
| D7111 | 2.7% | 24,692 | 12,452 | $1.41M | |
| D0145 | Oral evaluation for a patient under three years of age | 2.5% | 21,059 | 21,008 | $1.31M |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 17,314 | 17,264 | $1.16M |
24 more codes
| D2140 | 1.9% | 18,309 | $964K | |
| D0603 | 1.6% | 55,732 | $829K | |
| D9248 | 1.6% | 24,463 | $813K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 68,099 | $775K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 27,463 | $664K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 134,947 | $567K |
| D0274 | Bitewings - four radiographic images | <1% | 18,345 | $361K |
| D0330 | Panoramic radiographic image | <1% | 11,960 | $345K |
| D0350 | <1% | 29,619 | $314K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 5,399 | $250K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13,921 | $158K |
| D0601 | <1% | 10,408 | $155K | |
| D0602 | <1% | 8,314 | $124K | |
| D9430 | <1% | 3,859 | $119K | |
| D2160 | <1% | 1,293 | $99K | |
| D2330 | <1% | 710 | $53K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 585 | $29K |
| D1354 | <1% | 652 | $17K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 266 | $17K |
| D1510 | <1% | 67 | $10K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 203 | $7K |
| D0270 | <1% | 767 | $4K | |
| D2931 | <1% | 19 | $2K | |
| D9110 | <1% | 12 | $756.00 |
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 officialLIZAOLA, ANNA (ADMINISTRATIVE ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Central Coast Pediatric Dental Group | Salinas, CA | $26.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.