Rafael P. Sustento

Rafael P. Sustento was paid $2K by Medicaid between Mar 2018 and Oct 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.

33Billing provider infoRAFAEL P. SUSTENTO
NEWHALL, CA 91321

33aNPI1568631745assigned 02/21/2008

33bProvider typeDentist

28Total paid$2K

24GClaims277

24DCodes billed3

24AFirst – last monthMar 2018 – Oct 2020

Compared with peers

Next to other Dentist providers in California

Rank by total paid#2,101 of 2,314

Median peer was paid$185K

This provider vs. median0.0×

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	236	$2K
2020	41	$384.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	49%	39	38	$981.00
D0230	Intraoral - periapical each additional radiographic image	38%	226	101	$752.25
D0274	Bitewings - four radiographic images	13%	12	12	$259.20

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 officialSUSTENTO, RAFAEL (OWNER)