Clinic
Rwigema Dental Corporation
Rwigema Dental Corporation was paid $107K by Medicaid between Apr 2018 and Oct 2023, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 47% of everything it billed.
33Billing provider infoRWIGEMA DENTAL CORPORATION
PALMDALE, CA 93550
PALMDALE, CA 93550
33aNPI1518479757assigned 10/27/2017
33bProvider typeDental Clinic/Center
28Total paid$107K
24GClaims3,124
24DCodes billed13
24AFirst – last monthApr 2018 – Oct 2023
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#673 of 1,135
Median peer was paid$200K
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 | 334 | $15K | |
| 2019 | 339 | $17K | |
| 2020 | 708 | $26K | |
| 2021 | 1,104 | $36K | |
| 2022 | 384 | $6K | |
| 2023 | 255 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 47% | 784 | 778 | $50K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 431 | 429 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 195 | 94 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 289 | 288 | $7K |
| D1206 | Topical application of fluoride varnish | 3.9% | 325 | 323 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 61 | 60 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 736 | 396 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 57 | 28 | $3K |
| D0274 | Bitewings - four radiographic images | 1.3% | 75 | 75 | $1K |
| D9430 | <1% | 28 | 28 | $896.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 73 | 73 | $729.00 |
| D1999 | <1% | 53 | 44 | $50.00 |
1 more codes
| D1310 | 0% | 17 | $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 officialRWIGEMA, JEAN-PIERRE (PROVIDER/OWNER)