Dental
Vista Village Dental
Vista Village Dental was paid $21K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 55% of everything it billed.
33Billing provider infoVISTA VILLAGE DENTAL
SANTA CLARITA, CA 91321
SANTA CLARITA, CA 91321
33aNPI1447441712assigned 08/05/2007
33bProvider typeDentist
28Total paid$21K
24GClaims688
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,746 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 | 151 | $3K | |
| 2019 | 12 | $408.00 | |
| 2020 | 25 | $1K | |
| 2021 | 76 | $3K | |
| 2022 | 120 | $4K | |
| 2023 | 104 | $3K | |
| 2024incomplete | 200 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 55% | 278 | 253 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 26% | 193 | 176 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 51 | 51 | $3K |
| D1206 | Topical application of fluoride varnish | 2.9% | 28 | 28 | $617.00 |
| D0274 | Bitewings - four radiographic images | 1.9% | 29 | 29 | $399.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 97 | 69 | $297.44 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $54.00 |
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 officialHAKIMI, SEAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Crescenta Family Dental | La Crescenta, CA | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.