Managed care
Karen Guinn DDS
Karen Guinn DDS was paid $166K by Medicaid between Feb 2018 and Oct 2024, across 7 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 95% of everything it billed.
33Billing provider infoKAREN GUINN DDS
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1548481211assigned 05/01/2007
33bProvider typeExclusive Provider Organization
28Total paid$166K
24GClaims829
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#23 of 55
Median peer was paid$90K
This provider vs. median1.8×
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 | 110 | $28K | |
| 2019 | 387 | $48K | |
| 2020 | 85 | $22K | |
| 2021 | 74 | $18K | |
| 2022 | 47 | $13K | |
| 2023 | 43 | $13K | |
| 2024incomplete | 83 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 95% | 552 | 551 | $157K |
| D0340 | 1.7% | 59 | 56 | $3K | |
| D0290 | 1.3% | 60 | 60 | $2K | |
| D0330 | Panoramic radiographic image | 1.1% | 63 | 63 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 37 | 37 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 45 | 45 | $540.00 |
| D0350 | <1% | 13 | 13 | $124.80 |
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 officialGUINN, KAREN (ORTHODONTIST)
| Provider | Location | Paid |
|---|---|---|
| Karen Guinn DDS | Pasadena, CA | $970K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.