Dental
Guillermo Rubiano DDS INC
Guillermo Rubiano DDS INC was paid $11K by Medicaid between Aug 2023 and Oct 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 34% of everything it billed.
33Billing provider infoGUILLERMO RUBIANO DDS INC
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
33aNPI1548431018assigned 03/12/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims335
24DCodes billed8
24AFirst – last monthAug 2023 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,164 of 2,668
Median peer was paid$173K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 36 | $987.00 | |
| 2024incomplete | 299 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 34% | 58 | 58 | $4K |
| D1110 | Prophylaxis - adult | 33% | 40 | 40 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 32 | 32 | $2K |
| D1320 | 8.4% | 60 | 59 | $927.50 | |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 57 | 57 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 64 | 38 | $238.95 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 12 | 12 | $144.00 |
| D0431 | 0% | 12 | 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 officialRUBIANO, GUILLERMO (DENTIST/PRESIDENT)