Clinic
Amanda Rafi, DMD Apdc
Amanda Rafi, DMD Apdc was paid $1.22M by Medicaid between Apr 2019 and Dec 2024, across 27 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 14% of everything it billed.
33Billing provider infoAMANDA RAFI, DMD APDC
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1225513583assigned 10/02/2018
33bProvider typeDental Clinic/Center
28Total paid$1.22M
24GClaims37,882
24DCodes billed27
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#218 of 1,135
Median peer was paid$200K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2019 | 1,034 | $44K | |
| 2020 | 3,939 | $151K | |
| 2021 | 8,224 | $256K | |
| 2022 | 7,057 | $231K | |
| 2023 | 8,626 | $275K | |
| 2024incomplete | 9,002 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 2,581 | 2,571 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,080 | 2,068 | $147K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,071 | 3,058 | $134K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 1,849 | 746 | $99K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,377 | 731 | $91K |
| D1110 | Prophylaxis - adult | 6.9% | 997 | 990 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 6.4% | 1,670 | 1,659 | $78K |
| D2332 | 4.8% | 650 | 159 | $59K | |
| D1351 | Sealant - per tooth | 4.2% | 1,628 | 466 | $52K |
| D1310 | 3.8% | 1,040 | 1,039 | $46K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 9,092 | 3,126 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 2,221 | 2,215 | $33K |
15 more codes
| D1206 | Topical application of fluoride varnish | 2.4% | 1,742 | $30K |
| D9430 | 2.1% | 810 | $26K | |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 2,099 | $25K |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,207 | $22K |
| D0350 | 1.7% | 2,153 | $21K | |
| D9993 | 1.6% | 372 | $19K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 430 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 205 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 55 | $3K |
| D0602 | <1% | 216 | $3K | |
| D0603 | <1% | 211 | $3K | |
| D4910 | <1% | 43 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 45 | $540.00 |
| D0330 | Panoramic radiographic image | <1% | 14 | $420.00 |
| D0601 | <1% | 24 | $360.00 |
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 officialRAFI, AMANDA (OWNER)