Dental
San Luis, Egdon
San Luis, Egdon was paid $0.00 by Medicaid between Dec 2020 and Dec 2020, across 2 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoSAN LUIS, EGDON
HAYWARD, CA 94541
HAYWARD, CA 94541
33aNPI1396897278assigned 01/18/2007
33bProvider typeDentist
28Total paid$0.00
24GClaims27
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,262 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 27 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 13 | 12 | $0.00 |
| D9430 | 0% | 14 | 14 | $0.00 |
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.