Clinic
DR. Deza's Dental Office INC.
DR. Deza's Dental Office INC. was paid $7.07M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoDR. DEZA'S DENTAL OFFICE INC.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1548612856assigned 07/11/2016
33bProvider typeDental Clinic/Center
28Total paid$7.07M
24GClaims379,859
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#41 of 1,135
Median peer was paid$200K
This provider vs. median35×
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 | 75,645 | $1.21M | |
| 2019 | 69,303 | $1.22M | |
| 2020 | 40,217 | $632K | |
| 2021 | 45,858 | $733K | |
| 2022 | 49,558 | $1.01M | |
| 2023 | 53,700 | $1.18M | |
| 2024incomplete | 45,578 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 26,699 | 26,591 | $1.45M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 24,637 | 24,498 | $909K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 196,593 | 36,418 | $800K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 9,896 | 9,862 | $591K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.1% | 7,499 | 5,074 | $502K |
| D0274 | Bitewings - four radiographic images | 6.8% | 22,959 | 22,829 | $480K |
| D1110 | Prophylaxis - adult | 6.5% | 5,647 | 5,620 | $462K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 32,510 | 32,318 | $387K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 3,790 | 2,547 | $249K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 3,771 | 2,307 | $202K |
| D0350 | 2.7% | 20,716 | 7,785 | $190K | |
| D2140 | 2.5% | 3,293 | 2,226 | $179K |
23 more codes
| D1351 | Sealant - per tooth | 2.5% | 7,256 | $175K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 1,926 | $89K |
| D4341 | 1.0% | 1,088 | $72K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,433 | $63K |
| D9430 | <1% | 1,579 | $49K | |
| D9993 | <1% | 727 | $46K | |
| D2160 | <1% | 532 | $42K | |
| D1310 | <1% | 754 | $34K | |
| D4910 | <1% | 297 | $22K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 35 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 1,409 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 195 | $15K |
| D2740 | Crown - porcelain/ceramic | <1% | 30 | $14K |
| D2330 | <1% | 88 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 91 | $5K |
| D2954 | <1% | 43 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 21 | $2K |
| D0603 | <1% | 95 | $1K | |
| D4342 | <1% | 27 | $1K | |
| D0270 | <1% | 155 | $715.00 | |
| D0601 | <1% | 26 | $390.00 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 21 | $95.28 |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 21 | $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 officialDEZA, ROCIO (DENTIST/OWNER)