Clinic
DR Raymond Mansour a Professional Dental Corp
DR Raymond Mansour a Professional Dental Corp was paid $52K by Medicaid between Dec 2020 and Oct 2024, across 10 billing codes. Its largest line is D4910, — 36% of everything it billed.
33Billing provider infoDR RAYMOND MANSOUR A PROFESSIONAL DENTAL CORP
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1366908527assigned 02/13/2019
33bProvider typeDental Clinic/Center
28Total paid$52K
24GClaims1,587
24DCodes billed10
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#790 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 80 | $3K | |
| 2021 | 505 | $17K | |
| 2022 | 322 | $12K | |
| 2023 | 429 | $14K | |
| 2024incomplete | 251 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4910 | 36% | 250 | 247 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 196 | 196 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 608 | 607 | $6K |
| D9430 | 8.5% | 144 | 140 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 93 | 92 | $4K |
| D1110 | Prophylaxis - adult | 6.2% | 37 | 37 | $3K |
| D0330 | Panoramic radiographic image | 1.8% | 41 | 40 | $925.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 12 | 12 | $880.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 188 | 125 | $648.32 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 18 | 16 | $216.00 |
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 officialMANSOUR, RAYMOND (DENTIST/OWNER)