Dental
Monterey Park Family Dentistry
Monterey Park Family Dentistry was paid $15K by Medicaid between Mar 2018 and Oct 2024, across 6 billing codes. Its largest line is D9430, — 44% of everything it billed.
33Billing provider infoMONTEREY PARK FAMILY DENTISTRY
MONTEREY PARK, CA 91755
MONTEREY PARK, CA 91755
33aNPI1396801601assigned 12/29/2006
33bProvider typeDentist
28Total paid$15K
24GClaims835
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,818 of 2,314
Median peer was paid$185K
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 | |
|---|---|---|---|
| 2018 | 362 | $4K | |
| 2019 | 183 | $2K | |
| 2020 | 41 | $2K | |
| 2022 | 15 | $320.00 | |
| 2023 | 148 | $4K | |
| 2024incomplete | 86 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 44% | 249 | 195 | $7K | |
| D1110 | Prophylaxis - adult | 25% | 65 | 65 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 81 | 81 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.4% | 343 | 82 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 85 | 85 | $766.75 |
| D0274 | Bitewings - four radiographic images | 1.2% | 12 | 12 | $178.20 |
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 officialTRIEU, KIM (DENTIST)