Clinic
Almodovar Dentistry, INC.
Almodovar Dentistry, INC. was paid $114K by Medicaid between Jan 2024 and Dec 2024, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 24% of everything it billed.
33Billing provider infoALMODOVAR DENTISTRY, INC.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1225747801assigned 11/22/2022
33bProvider typeDental Clinic/Center
28Total paid$114K
24GClaims2,165
24DCodes billed15
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#662 of 1,135
Median peer was paid$200K
This provider vs. median0.6×
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 | 2,165 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 24% | 57 | 46 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 350 | 350 | $23K |
| D1110 | Prophylaxis - adult | 16% | 212 | 212 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 255 | 255 | $12K |
| D9430 | 6.6% | 235 | 232 | $7K | |
| D4910 | 4.5% | 66 | 66 | $5K | |
| D1206 | Topical application of fluoride varnish | 3.7% | 241 | 240 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 272 | 269 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 44 | 27 | $3K |
| D4341 | 2.4% | 39 | 13 | $3K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 47 | 47 | $2K |
| D2954 | 1.6% | 17 | 12 | $2K |
3 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 officialALMODOVAR, DREW (PRESIDENT)