Dental
Cuscatlan Dental Center
Cuscatlan Dental Center was paid $91K by Medicaid between Mar 2018 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoCUSCATLAN DENTAL CENTER
ONTARIO, CA 91762
ONTARIO, CA 91762
33aNPI1558761296assigned 08/31/2014
33bProvider typeDentist
28Total paid$91K
24GClaims4,667
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,396 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | 337 | $3K | |
| 2019 | 244 | $3K | |
| 2020 | 513 | $11K | |
| 2021 | 876 | $15K | |
| 2022 | 794 | $18K | |
| 2023 | 1,016 | $21K | |
| 2024incomplete | 887 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 579 | 579 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 424 | 424 | $17K |
| D0272 | Bitewings - two radiographic images | 12% | 936 | 934 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 2,177 | 1,096 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 103 | 103 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 448 | 448 | $6K |
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 officialCRUZ, MAY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Cuscatlan Dental Center | Pico Rivera, CA | $108K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.