Dental
UCLA Pediatric Dentistry
UCLA Pediatric Dentistry was paid $4.89M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoUCLA PEDIATRIC DENTISTRY
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
33aNPI1467667618assigned 05/11/2007
33bProvider typePediatric Dentist
28Total paid$4.89M
24GClaims108,174
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#58 of 332
Median peer was paid$450K
This provider vs. median11×
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 | 16,035 | $602K | |
| 2019 | 16,208 | $786K | |
| 2020 | 9,742 | $391K | |
| 2021 | 16,640 | $741K | |
| 2022 | 15,864 | $781K | |
| 2023 | 17,387 | $923K | |
| 2024incomplete | 16,298 | $664K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 13,518 | 13,469 | $748K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 16,364 | 16,302 | $617K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 11% | 781 | 392 | $542K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 4,739 | 2,723 | $309K |
| D9221 | 6.1% | 462 | 269 | $300K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.8% | 2,430 | 990 | $281K |
| D1351 | Sealant - per tooth | 5.4% | 9,328 | 2,715 | $262K |
| D9420 | 4.9% | 1,057 | 1,020 | $241K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 3,491 | 3,474 | $214K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 3,444 | 1,547 | $194K |
| D1206 | Topical application of fluoride varnish | 3.4% | 12,925 | 12,876 | $167K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 2,435 | 1,658 | $129K |
31 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 2,157 | $84K |
| D1310 | 1.7% | 1,946 | $82K | |
| D9430 | 1.5% | 2,420 | $75K | |
| D2330 | 1.5% | 1,012 | $74K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 6,318 | $72K |
| D9220 | 1.2% | 269 | $60K | |
| D9993 | 1.1% | 1,026 | $56K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 10,009 | $49K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 866 | $48K |
| D9222 | <1% | 382 | $46K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,084 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,039 | $39K |
| D2940 | <1% | 737 | $39K | |
| D9610 | <1% | 545 | $30K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,632 | $19K |
| D9248 | <1% | 532 | $18K | |
| D0603 | <1% | 1,276 | $17K | |
| D1510 | <1% | 66 | $10K | |
| D0160 | <1% | 83 | $8K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 64 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 73 | $6K |
| D0240 | <1% | 118 | $1K | |
| D2331 | <1% | 15 | $1K | |
| D0602 | <1% | 103 | $855.00 | |
| D1354 | <1% | 102 | $768.00 | |
| D9995 | <1% | 190 | $382.32 | |
| D0270 | <1% | 74 | $365.00 | |
| D0601 | <1% | 12 | $165.00 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 19 | $120.48 |
| D0350 | <1% | 19 | $91.00 | |
| D9996 | 0% | 12 | $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 officialTRAN, NINI (ASSOCIATE PROFESSOR)
Parent organizationUCLA SCHOOL OF DENTISTRY