Supplier
Carmona Dental INC.
Carmona Dental INC. was paid $1K by Medicaid between Oct 2019 and Feb 2023, across 2 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 64% of everything it billed.
33Billing provider infoCARMONA DENTAL INC.
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1548545866assigned 10/18/2011
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1K
24GClaims212
24DCodes billed2
24AFirst – last monthOct 2019 – Feb 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#651 of 946
Median peer was paid$15K
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 | |
|---|---|---|---|
| 2019 | 54 | $222.75 | |
| 2020 | 114 | $689.25 | |
| 2023 | 44 | $178.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 64% | 171 | 39 | $696.60 |
| D0350 | 36% | 41 | 12 | $393.60 |
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 officialCARMONA, ENRIQUETA (PRESIDENT)