UCSF Pediatric Dentistry

UCSF Pediatric Dentistry was paid $629K by Medicaid between Apr 2022 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.

33Billing provider infoUCSF PEDIATRIC DENTISTRY
SAN FRANCISCO, CA 94158

33aNPI1437522737assigned 11/09/2015

33bProvider typePediatric Dentist

28Total paid$629K

24GClaims20,830

24DCodes billed18

24AFirst – last monthApr 2022 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#160 of 332

Median peer was paid$450K

This provider vs. median1.4×

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
2022	3,250	$76K
2023	6,237	$196K
2024incomplete	11,343	$356K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	49%	6,184	6,175	$310K
D1206	Topical application of fluoride varnish	17%	6,160	6,147	$108K
D9999	Unspecified adjunctive procedure, by report	12%	4,264	4,232	$78K
D2930	Prefabricated stainless steel crown - primary tooth	6.5%	348	235	$41K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.0%	825	824	$38K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.0%	490	488	$19K
D9920		<1%	45	45	$6K
D0230	Intraoral - periapical each additional radiographic image	<1%	1,212	575	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	70	56	$4K
D0272	Bitewings - two radiographic images	<1%	338	338	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	53	53	$3K
D7140	Extraction, erupted tooth or exposed root	<1%	54	29	$3K

6 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	46	$2K
D0274	Bitewings - four radiographic images	<1%	124	$2K
D9420		<1%	27	$2K
D1354		<1%	485	$1K
D0220	Intraoral - periapical first radiographic image	<1%	51	$612.00
D1310		0%	54	$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 officialDEN BESTEN, PAMELA (CHAIR)