Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Los Banos › NPI 1336602408
Dental

Rodriguez Ramos, Jose

Rodriguez Ramos, Jose was paid $33K by Medicaid between Jun 2024 and Dec 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.

33Billing provider infoRODRIGUEZ RAMOS, JOSE
LOS BANOS, CA 93635
33aNPI1336602408assigned 04/07/2019
33bProvider typeDentist
28Total paid$33K
24GClaims729
24DCodes billed10
24AFirst – last monthJun 2024 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,653 of 2,314
Median peer was paid$185K
This provider vs. median0.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete729$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 45% 222 222 $15K
D0210 Intraoral - complete series of radiographic images 22% 151 151 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9.2% 56 14 $3K
D1351 Sealant - per tooth 8.0% 71 13 $3K
D1120 Dental cleaning, childProphylaxis - child 6.9% 44 44 $2K
D1310 3.7% 28 28 $1K
D9430 2.6% 28 22 $836.00
D1206 Topical application of fluoride varnish 1.5% 29 29 $475.00
D0230 Intraoral - periapical each additional radiographic image 1.0% 85 46 $336.15
D1208 Topical application of fluoride, excluding varnish <1% 15 15 $280.00

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.