Villasenor Fass, Gloria

Villasenor Fass, Gloria was paid $289K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.

33Billing provider infoVILLASENOR FASS, GLORIA
MODESTO, CA 95354

33aNPI1376639567assigned 10/05/2006

33bProvider typeDentist

28Total paid$289K

24GClaims13,288

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#989 of 2,314

Median peer was paid$185K

This provider vs. median1.6×

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	1,034	$19K
2019	1,187	$26K
2020	1,462	$30K
2021	2,188	$54K
2022	2,295	$52K
2023	2,297	$49K
2024incomplete	2,825	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	19%	855	851	$54K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	836	824	$53K
D1120	Dental cleaning, childProphylaxis - child	11%	797	786	$31K
D0210	Intraoral - complete series of radiographic images	10.0%	615	612	$29K
D1110	Prophylaxis - adult	9.3%	311	306	$27K
D0230	Intraoral - periapical each additional radiographic image	8.9%	6,403	1,458	$26K
D1208	Topical application of fluoride, excluding varnish	6.3%	1,474	1,460	$18K
D0274	Bitewings - four radiographic images	5.8%	814	801	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.4%	182	122	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.3%	142	98	$10K
D9430		2.1%	189	179	$6K
D0350		1.4%	442	233	$4K

5 more codes

D0250		<1%	127	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	20	$1K
D2140		<1%	17	$928.20
D0220	Intraoral - periapical first radiographic image	<1%	51	$600.00
D0260		<1%	13	$65.00

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.