Dental
UCSF Periodontal Specialty Clinic
UCSF Periodontal Specialty Clinic was paid $340K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 49% of everything it billed.
33Billing provider infoUCSF PERIODONTAL SPECIALTY CLINIC
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
33aNPI1497829162assigned 11/17/2006
33bProvider typePeriodontist
28Total paid$340K
24GClaims5,766
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Periodontist providers in California
Rank by total paid#5 of 17
Median peer was paid$38K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2018 | 1,150 | $50K | |
| 2019 | 972 | $63K | |
| 2020 | 332 | $23K | |
| 2021 | 1,468 | $88K | |
| 2022 | 892 | $55K | |
| 2023 | 324 | $20K | |
| 2024incomplete | 628 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 49% | 2,648 | 2,636 | $165K |
| D4910 | 15% | 771 | 768 | $51K | |
| D4341 | 12% | 621 | 260 | $42K | |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 735 | 302 | $41K |
| D4342 | 7.0% | 565 | 256 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 216 | 215 | $10K |
| D1110 | Prophylaxis - adult | 1.4% | 167 | 162 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 43 | 43 | $2K |
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 officialFEATHERSTONE, JOHN (DEAN)
| Provider | Location | Paid |
|---|---|---|
| UCSF Oral Surgery CL. #20-3 | San Francisco, CA | $490K |
| UCSF SFGH Maxillo Facial Surgery CL. #20-4 | San Francisco, CA | $197K |
| UCSF Oral & Maxillofacial Surgery | San Francisco, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.