Dental
Santa Maria Dental Office INC
Santa Maria Dental Office INC was paid $0.00 by Medicaid between Jan 2018 and Aug 2021, across 9 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoSANTA MARIA DENTAL OFFICE INC
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1275608010assigned 11/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims724
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,619 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | 465 | $0.00 | |
| 2019 | 118 | $0.00 | |
| 2020 | 127 | $0.00 | |
| 2021 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 65 | 64 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 167 | 164 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 170 | 163 | $0.00 |
| D1330 | 0% | 80 | 78 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 15 | 15 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 128 | 125 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 25 | 24 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 60 | 59 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 14 | 13 | $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 officialROFAEL, NAWAL (PRESIDENT)