Managed care
Ankin Deragobian D.D.S. INC.
Ankin Deragobian D.D.S. INC. was paid $525K by Medicaid between Feb 2018 and Dec 2024, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoANKIN DERAGOBIAN D.D.S. INC.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1376942672assigned 08/22/2014
33bProvider typeExclusive Provider Organization
28Total paid$525K
24GClaims20,294
24DCodes billed21
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#11 of 55
Median peer was paid$90K
This provider vs. median5.8×
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 | 248 | $7K | |
| 2019 | 192 | $11K | |
| 2020 | 982 | $48K | |
| 2021 | 3,979 | $106K | |
| 2022 | 5,100 | $130K | |
| 2023 | 4,758 | $119K | |
| 2024incomplete | 5,035 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 1,967 | 1,962 | $127K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,354 | 840 | $90K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,765 | 1,763 | $84K |
| D0350 | 15% | 8,453 | 2,642 | $80K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 497 | 497 | $36K |
| D9430 | 3.4% | 557 | 527 | $18K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 4,000 | 1,050 | $17K |
| D4341 | 2.2% | 162 | 52 | $11K | |
| D4910 | 1.9% | 128 | 124 | $10K | |
| D0274 | Bitewings - four radiographic images | 1.5% | 401 | 401 | $8K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.4% | 15 | 14 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 80 | 66 | $6K |
9 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.1% | 13 | $6K |
| D1120 | Dental cleaning, child | <1% | 108 | $4K |
| D1320 | <1% | 275 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 78 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 273 | $4K |
| D4342 | <1% | 81 | $3K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 25 | $3K |
| D1110 | Prophylaxis - adult | <1% | 22 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 40 | $442.00 |
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 officialDERAGOBIAN, ANKIN (OWNER/PRESIDENT)