Clinic
Vimala Vontela, INC.
Vimala Vontela, INC. was paid $494K by Medicaid between Dec 2022 and Dec 2024, across 19 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoVIMALA VONTELA, INC.
MANTECA, CA 95336
MANTECA, CA 95336
33aNPI1275241028assigned 11/10/2022
33bProvider typeDental Clinic/Center
28Total paid$494K
24GClaims12,765
24DCodes billed19
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#383 of 1,135
Median peer was paid$200K
This provider vs. median2.5×
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 | 424 | $16K | |
| 2023 | 5,958 | $236K | |
| 2024incomplete | 6,383 | $241K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 1,290 | 1,290 | $85K |
| D1110 | Prophylaxis - adult | 15% | 826 | 826 | $72K |
| D4910 | 12% | 741 | 741 | $57K | |
| D4341 | 10% | 715 | 190 | $50K | |
| D0210 | Intraoral - complete series of radiographic images | 8.7% | 900 | 900 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 515 | 515 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 731 | 731 | $38K |
| D1206 | Topical application of fluoride varnish | 6.0% | 1,688 | 1,688 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 264 | 139 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 266 | 98 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 3,228 | 1,083 | $13K |
| D0274 | Bitewings - four radiographic images | 2.5% | 574 | 572 | $12K |
7 more codes
| D1351 | Sealant - per tooth | 1.3% | 166 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 516 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 28 | $3K |
| D9430 | <1% | 69 | $2K | |
| D0350 | <1% | 142 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 94 | $1K |
| D1310 | <1% | 12 | $552.00 |
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 officialVONTELA, VIMALA (PRESIDENT)