Dental
Sandra Rodriguez DDS INC
Sandra Rodriguez DDS INC was paid $533K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSANDRA RODRIGUEZ DDS INC
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
33aNPI1386035251assigned 02/12/2015
33bProvider typeDentist
28Total paid$533K
24GClaims16,321
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#762 of 2,314
Median peer was paid$185K
This provider vs. median2.9×
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 | 2,311 | $51K | |
| 2019 | 960 | $30K | |
| 2020 | 910 | $31K | |
| 2021 | 1,536 | $50K | |
| 2022 | 3,676 | $129K | |
| 2023 | 4,348 | $149K | |
| 2024incomplete | 2,580 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,573 | 1,571 | $101K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,612 | 1,608 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 1,208 | 542 | $64K |
| D9430 | 12% | 1,947 | 1,553 | $62K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 887 | 887 | $53K |
| D1110 | Prophylaxis - adult | 8.2% | 562 | 561 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 633 | 334 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 2,176 | 2,172 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 531 | 531 | $24K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,061 | 1,061 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 3,420 | 1,460 | $13K |
| D2740 | Crown - porcelain/ceramic | 1.7% | 19 | 13 | $9K |
4 more codes
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 officialRODRIGUEZ, SANDRA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Adriana Healthcare PLLC | Houston, TX | $143K |
| Digestive & Liver Wellness PA | Homestead, FL | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.