Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Palmdale › NPI 1437398351
Dental

C I Dentistry

C I Dentistry was paid $88K by Medicaid between Jan 2018 and Nov 2022, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.

33Billing provider infoC I DENTISTRY
PALMDALE, CA 93551
33aNPI1437398351assigned 02/17/2009
28Total paid$88K
24GClaims3,874
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,607 of 2,668
Median peer was paid$173K
This provider vs. median0.5×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018931$21K
2019965$21K
2020682$14K
2021861$19K
2022435$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 28% 438 436 $25K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 417 416 $20K
D1120 Dental cleaning, childProphylaxis - child 16% 434 427 $14K
D0330 Panoramic radiographic image 12% 362 362 $10K
D0230 Intraoral - periapical each additional radiographic image 6.2% 1,378 545 $5K
D1208 Topical application of fluoride, excluding varnish 4.6% 404 399 $4K
D7140 Extraction, erupted tooth or exposed root 3.7% 67 25 $3K
D0220 Intraoral - periapical first radiographic image 2.8% 211 204 $2K
D0274 Bitewings - four radiographic images 2.2% 93 93 $2K
D1110 Prophylaxis - adult 1.8% 24 24 $2K
D1999 0% 46 43 $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 officialINFANTE HERNANDEZ, CELIA (PRESIDENT)