Dental
Dentalville
Dentalville was paid $233K by Medicaid between Jan 2018 and Nov 2018, across 21 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 11% of everything it billed.
33Billing provider infoDENTALVILLE
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1558588566assigned 04/19/2007
33bProvider typeDentist
28Total paid$233K
24GClaims12,536
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,071 of 2,314
Median peer was paid$185K
This provider vs. median1.3×
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 | 12,536 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 404 | 175 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 7,175 | 1,284 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 799 | 797 | $23K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.7% | 209 | 68 | $22K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.1% | 215 | 71 | $21K |
| D8670 | Periodic orthodontic treatment visit | 8.8% | 87 | 84 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 627 | 627 | $19K |
| D0274 | Bitewings - four radiographic images | 6.2% | 751 | 749 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 225 | 224 | $10K |
| D2160 | 4.3% | 130 | 75 | $10K | |
| D2140 | 3.4% | 146 | 69 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 710 | 709 | $7K |
9 more codes
| D4341 | 2.5% | 118 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 142 | $5K |
| D7111 | 1.7% | 70 | $4K | |
| D1351 | Sealant - per tooth | 1.4% | 158 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 22 | $3K |
| D0350 | <1% | 271 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 152 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 103 | $1K |
| D1110 | Prophylaxis - adult | <1% | 22 | $800.00 |
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 officialPAROCUA, SYLVIA (MANAGEMENT)