Dental
California Dental a Waggoner Dental Group INC
California Dental a Waggoner Dental Group INC was paid $5.74M by Medicaid between Oct 2022 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoCALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC
VISALIA, CA 93291
VISALIA, CA 93291
33aNPI1265167985assigned 07/18/2022
33bProvider typePediatric Dentist
28Total paid$5.74M
24GClaims100,301
24DCodes billed30
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#49 of 332
Median peer was paid$450K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2022 | 8,025 | $429K | |
| 2023 | 50,443 | $2.87M | |
| 2024incomplete | 41,833 | $2.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 16,731 | 2,828 | $1.95M |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 22% | 5,458 | 2,517 | $1.24M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.8% | 4,021 | 1,479 | $388K |
| D9420 | 6.5% | 5,614 | 3,435 | $375K | |
| D9222 | 5.2% | 2,518 | 2,518 | $300K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 5,071 | 1,640 | $283K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 4,112 | 4,091 | $266K |
| D1310 | 2.2% | 3,047 | 3,035 | $124K | |
| D9610 | 2.0% | 5,192 | 3,162 | $114K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 27,081 | 4,331 | $106K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 2,008 | 1,978 | $78K |
| D0350 | 1.1% | 5,181 | 2,281 | $63K |
18 more codes
| D2330 | <1% | 704 | $52K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 732 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 700 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 817 | $43K |
| D3230 | <1% | 425 | $42K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,550 | $40K |
| D0603 | <1% | 3,024 | $39K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,985 | $38K |
| D1351 | Sealant - per tooth | <1% | 1,005 | $35K |
| D2140 | <1% | 592 | $31K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 234 | $13K |
| D9920 | <1% | 86 | $11K | |
| D2331 | <1% | 127 | $10K | |
| D1510 | <1% | 38 | $8K | |
| D0120 | Dental checkup, returning patient | <1% | 29 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 144 | $2K |
| D2332 | <1% | 22 | $2K | |
| D3120 | 0% | 53 | $0.00 |
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 officialWAGGONER, WILLIAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| William F. Waggoner, DDS, MS, Chrted | Las Vegas, NV | $2.47M |
| Waggoner & Associates PC | Las Vegas, NV | $2.46M |
| Waggoner-Galea PC | N Las Vegas, NV | $1.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.