Clinic
Tracy Filler, DMD, INC.
Tracy Filler, DMD, INC. was paid $4.59M by Medicaid between Oct 2019 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoTRACY FILLER, DMD, INC.
SAN JOSE, CA 95121
SAN JOSE, CA 95121
33aNPI1528628146assigned 06/17/2019
33bProvider typeDental Clinic/Center
28Total paid$4.59M
24GClaims142,208
24DCodes billed27
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#70 of 1,135
Median peer was paid$200K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2019 | 2,873 | $115K | |
| 2020 | 8,752 | $334K | |
| 2021 | 18,482 | $648K | |
| 2022 | 26,389 | $884K | |
| 2023 | 35,504 | $1.12M | |
| 2024incomplete | 50,208 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 15,377 | 15,372 | $708K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 4,592 | 1,553 | $542K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 7,525 | 7,523 | $518K |
| D1310 | 9.4% | 9,624 | 9,605 | $431K | |
| D1206 | Topical application of fluoride varnish | 6.5% | 15,051 | 15,033 | $298K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 4,449 | 1,944 | $292K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 3,749 | 3,747 | $251K |
| D7111 | 4.5% | 3,682 | 1,930 | $207K | |
| D1351 | Sealant - per tooth | 3.7% | 5,082 | 1,680 | $169K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 3,884 | 3,553 | $151K |
| D0603 | 2.8% | 8,979 | 8,970 | $131K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 1,266 | 641 | $124K |
15 more codes
| D9993 | 2.7% | 9,343 | $124K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 2,247 | $120K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 1,774 | $119K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 29,017 | $117K |
| D0350 | 1.5% | 6,851 | $68K | |
| D2390 | 1.4% | 611 | $63K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 5,314 | $62K |
| D9430 | <1% | 1,361 | $43K | |
| D0274 | Bitewings - four radiographic images | <1% | 859 | $18K |
| D0330 | Panoramic radiographic image | <1% | 584 | $17K |
| D0601 | <1% | 250 | $4K | |
| D1354 | <1% | 229 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 255 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 238 | $3K |
| D2330 | <1% | 15 | $1K |
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 officialFILLER, TRACY (PRESIDENT)