Dental
Martinez Dental Office
Martinez Dental Office was paid $97K by Medicaid between Jan 2018 and Mar 2022, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoMARTINEZ DENTAL OFFICE
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1477845113assigned 05/13/2011
33bProvider typeDentist
28Total paid$97K
24GClaims5,392
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,378 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | 1,266 | $19K | |
| 2019 | 3,167 | $54K | |
| 2020 | 417 | $14K | |
| 2021 | 392 | $7K | |
| 2022 | 150 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 327 | 322 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 17% | 2,778 | 772 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 392 | 387 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 406 | 400 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 164 | 160 | $7K |
| D0274 | Bitewings - four radiographic images | 7.5% | 382 | 376 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 467 | 461 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.9% | 34 | 15 | $4K |
| D1110 | Prophylaxis - adult | 1.6% | 17 | 17 | $2K |
| D1351 | Sealant - per tooth | 1.5% | 68 | 26 | $1K |
| D0350 | 1.3% | 46 | 45 | $1K | |
| D9430 | 1.3% | 39 | 33 | $1K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 20 | $1K |
| D1206 | Topical application of fluoride varnish | 1.1% | 104 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 78 | $924.00 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $826.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 56 | $672.00 |
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 officialFRY, SPEED (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| San Pedro Dental | San Pedro, CA | $419K |
| Torrance Family Dental | Torrance, CA | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.