Clinic
Manuel Roman Dental Corp
Manuel Roman Dental Corp was paid $28K by Medicaid between Nov 2020 and Jun 2022, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoMANUEL ROMAN DENTAL CORP
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1245857887assigned 06/30/2020
33bProvider typeDental Clinic/Center
28Total paid$28K
24GClaims795
24DCodes billed8
24AFirst – last monthNov 2020 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#854 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 340 | $13K | |
| 2021 | 431 | $14K | |
| 2022 | 24 | $997.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 92 | 33 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 94 | 94 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 19% | 95 | 26 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 45 | 24 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 64 | 64 | $3K |
| D0350 | 10% | 298 | 50 | $3K | |
| D1206 | Topical application of fluoride varnish | 2.6% | 50 | 50 | $711.50 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 57 | 12 | $230.85 |
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 officialROMAN, MANUEL (DENTIST /OWNER)
| Provider | Location | Paid |
|---|---|---|
| Suburban Emergency Associates, P.A. | Shakopee, MN | $5.24M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.