Dental
Rowena Gbenoba a Dental Corporation
Rowena Gbenoba a Dental Corporation was paid $71K by Medicaid between Jul 2020 and Oct 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoROWENA GBENOBA A DENTAL CORPORATION
WINCHESTER, CA 92596
WINCHESTER, CA 92596
33aNPI1447801600assigned 09/27/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$71K
24GClaims1,966
24DCodes billed10
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,676 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 90 | $4K | |
| 2021 | 492 | $21K | |
| 2022 | 506 | $18K | |
| 2023 | 393 | $12K | |
| 2024incomplete | 485 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 375 | 374 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 131 | 131 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 228 | 227 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 681 | 680 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 141 | 141 | $7K |
| D1110 | Prophylaxis - adult | 7.9% | 65 | 65 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 219 | 113 | $884.93 |
| D0350 | <1% | 79 | 52 | $703.20 | |
| D0274 | Bitewings - four radiographic images | <1% | 30 | 30 | $648.00 |
| D9430 | <1% | 17 | 14 | $544.00 |
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 officialGBENOBA, ROWENA (PRESIDENT)