Rosales, Victor

Rosales, Victor was paid $16K by Medicaid between Mar 2018 and Aug 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoROSALES, VICTOR
COVINA, CA 91724

33aNPI1326174970assigned 02/26/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims510

24DCodes billed7

24AFirst – last monthMar 2018 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,069 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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	81	$396.00
2021	78	$3K
2022	156	$4K
2023	51	$2K
2024incomplete	144	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	63	63	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	62	62	$3K
D1206	Topical application of fluoride varnish	19%	194	194	$3K
D0150	Comprehensive oral evaluation - new or established patient	15%	38	38	$2K
D0210	Intraoral - complete series of radiographic images	7.1%	25	25	$1K
D0230	Intraoral - periapical each additional radiographic image	2.4%	115	43	$384.31
D0274	Bitewings - four radiographic images	1.2%	13	12	$198.00

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.