Dental
Diamond Springs Dental
Diamond Springs Dental was paid $511K by Medicaid between Jan 2018 and Dec 2018, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoDIAMOND SPRINGS DENTAL
DIAMOND SPRINGS, CA 95619
DIAMOND SPRINGS, CA 95619
33aNPI1235377623assigned 01/23/2009
33bProvider typeDentist
28Total paid$511K
24GClaims20,116
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#778 of 2,314
Median peer was paid$185K
This provider vs. median2.8×
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 | 20,116 | $511K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 3,030 | 3,004 | $89K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 16% | 1,264 | 699 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,317 | 2,298 | $75K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 943 | 908 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 549 | 231 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 2,897 | 2,873 | $29K |
| D2140 | 4.8% | 480 | 332 | $24K | |
| D0274 | Bitewings - four radiographic images | 4.7% | 1,228 | 1,219 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 494 | 492 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 404 | 404 | $22K |
| D1351 | Sealant - per tooth | 3.4% | 842 | 327 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 3,309 | 1,034 | $13K |
10 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.5% | 109 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 976 | $11K |
| D7240 | Removal of impacted tooth - completely bony | 1.3% | 29 | $7K |
| D0272 | Bitewings - two radiographic images | 1.0% | 485 | $5K |
| D9430 | <1% | 122 | $4K | |
| D0350 | <1% | 486 | $4K | |
| D1110 | Prophylaxis - adult | <1% | 31 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 55 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $982.80 |
| D9610 | <1% | 47 | $210.00 |
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 officialGOODIS, MITCHELL (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pleasant Valley Dental | El Dorado, CA | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.