Clinic
Rita T. Deragobian DDS, INC.
Rita T. Deragobian DDS, INC. was paid $5K by Medicaid between Oct 2019 and Nov 2024, across 4 billing codes. Its largest line is D9430, — 52% of everything it billed.
33Billing provider infoRITA T. DERAGOBIAN DDS, INC.
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1295227288assigned 06/05/2018
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims137
24DCodes billed4
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,028 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2019 | 13 | $858.00 | |
| 2021 | 13 | $384.00 | |
| 2023 | 34 | $1K | |
| 2024incomplete | 77 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 52% | 85 | 67 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 25 | 25 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 13 | 13 | $624.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 14 | 13 | $168.00 |
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 officialDERAGOBIAN, RITA (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rita Deragobian DDS INC | Montclair, CA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.