Clinic
UCLA Venice Dental Center
UCLA Venice Dental Center was paid $644K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoUCLA VENICE DENTAL CENTER
VENICE, CA 90291
VENICE, CA 90291
33aNPI1255465902assigned 03/15/2007
33bProvider typeDental Clinic/Center
28Total paid$644K
24GClaims22,294
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#317 of 1,135
Median peer was paid$200K
This provider vs. median3.2×
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 | 3,947 | $79K | |
| 2019 | 3,662 | $90K | |
| 2020 | 1,720 | $41K | |
| 2021 | 3,247 | $68K | |
| 2022 | 3,848 | $132K | |
| 2023 | 3,440 | $130K | |
| 2024incomplete | 2,430 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 4,709 | 4,677 | $233K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 5,536 | 5,498 | $192K |
| D1351 | Sealant - per tooth | 8.5% | 1,920 | 556 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 619 | 616 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 2,954 | 2,931 | $31K |
| D1206 | Topical application of fluoride varnish | 4.3% | 2,232 | 2,213 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 4.1% | 579 | 577 | $26K |
| D0272 | Bitewings - two radiographic images | 2.8% | 1,613 | 1,597 | $18K |
| D0274 | Bitewings - four radiographic images | 1.6% | 525 | 521 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,301 | 712 | $5K |
| D9430 | <1% | 110 | 106 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 38 | 38 | $3K |
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 officialHAYASETI, MARC (ASSOCIATE CLINICAL PROFESSOR)