Peres Dental Clinic

Peres Dental Clinic was paid $5K by Medicaid between Sep 2023 and Oct 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.

33Billing provider infoPERES DENTAL CLINIC
RICHMOND, CA 94801

33aNPI1306274147assigned 10/14/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims129

24DCodes billed4

24AFirst – last monthSep 2023 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,304 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
2023	57	$3K
2024incomplete	72	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	49%	50	50	$3K
D0150	Comprehensive oral evaluation - new or established patient	23%	19	19	$1K
D1208	Topical application of fluoride, excluding varnish	15%	47	47	$757.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	13	13	$705.00

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 officialELDRIDGE, JAWAN (PRINCIPAL)