Clinic
Portilla Dental Group Corp
Portilla Dental Group Corp was paid $601K by Medicaid between Apr 2021 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoPORTILLA DENTAL GROUP CORP
ESCONDIDO, CA 92027
ESCONDIDO, CA 92027
33aNPI1457957185assigned 12/08/2020
33bProvider typeDental Clinic/Center
28Total paid$601K
24GClaims15,971
24DCodes billed18
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#335 of 1,135
Median peer was paid$200K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 2,450 | $114K | |
| 2022 | 4,035 | $135K | |
| 2023 | 4,246 | $129K | |
| 2024incomplete | 5,240 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,483 | 797 | $99K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,443 | 671 | $78K |
| D1110 | Prophylaxis - adult | 13% | 875 | 874 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,129 | 1,129 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 890 | 884 | $71K |
| D0210 | Intraoral - complete series of radiographic images | 7.8% | 982 | 982 | $47K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.5% | 57 | 40 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 577 | 576 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 5,062 | 1,181 | $21K |
| D0274 | Bitewings - four radiographic images | 3.1% | 895 | 890 | $18K |
| D1206 | Topical application of fluoride varnish | 2.4% | 831 | 831 | $15K |
| D4341 | 2.0% | 173 | 55 | $12K |
6 more codes
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 officialPORTILLA, HAROLD (PRESIDENT OWNER)