Dental
Sycuan Tribal Government
Sycuan Tribal Government was paid $5.77M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 55% of everything it billed.
33Billing provider infoSYCUAN TRIBAL GOVERNMENT
EL CAJON, CA 92019
EL CAJON, CA 92019
33aNPI1427197078assigned 02/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5.77M
24GClaims14,612
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#94 of 2,668
Median peer was paid$173K
This provider vs. median33×
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 | 990 | $287K | |
| 2019 | 1,445 | $267K | |
| 2020 | 2,279 | $803K | |
| 2021 | 3,045 | $1.16M | |
| 2022 | 3,320 | $1.57M | |
| 2023 | 1,583 | $784K | |
| 2024incomplete | 1,950 | $905K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 55% | 5,648 | 3,630 | $3.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 4,510 | 4,173 | $1.70M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 1,752 | 1,695 | $664K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.4% | 291 | 254 | $199K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 41 | 38 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,435 | 1,390 | $439.78 |
| 82947 | <1% | 80 | 79 | $154.80 | |
| 90686 | <1% | 137 | 136 | $104.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 161 | 161 | $84.07 |
| 82465 | <1% | 453 | 453 | $82.93 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | 53 | $44.08 |
| 81003 | 0% | 39 | 39 | $0.00 |
1 more codes
| 99173 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialBARBARA, DANIEL (ADMINISTRATIVE DIRECTOR)
Parent organizationSYCUAN TRIBAL GOVERNMENT