Clinic
Pureco Dental Group INC
Pureco Dental Group INC was paid $17K by Medicaid between Mar 2022 and Sep 2024, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoPURECO DENTAL GROUP INC
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1376197954assigned 07/31/2019
33bProvider typeDental Clinic/Center
28Total paid$17K
24GClaims1,602
24DCodes billed5
24AFirst – last monthMar 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#913 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2022 | 289 | $5K | |
| 2023 | 469 | $3K | |
| 2024incomplete | 844 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 92 | 92 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 31% | 1,333 | 232 | $5K |
| D1110 | Prophylaxis - adult | 14% | 28 | 28 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 30 | 29 | $2K |
| D0272 | Bitewings - two radiographic images | 8.1% | 119 | 118 | $1K |
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 officialPURECO, MARIO (OWNER/ DENTIST)