Dental
Vontela, Vimala
Vontela, Vimala was paid $520K by Medicaid between May 2019 and Dec 2022, across 18 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 16% of everything it billed.
33Billing provider infoVONTELA, VIMALA
MANTECA, CA 95336
MANTECA, CA 95336
33aNPI1578661617assigned 09/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$520K
24GClaims15,446
24DCodes billed18
24AFirst – last monthMay 2019 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#872 of 2,668
Median peer was paid$173K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2019 | 570 | $27K | |
| 2020 | 2,381 | $84K | |
| 2021 | 5,626 | $177K | |
| 2022 | 6,869 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,249 | 1,249 | $83K |
| D1110 | Prophylaxis - adult | 15% | 873 | 873 | $78K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,255 | 370 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 829 | 363 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 9.6% | 1,056 | 1,056 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 576 | 576 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 866 | 866 | $33K |
| D1206 | Topical application of fluoride varnish | 5.5% | 1,845 | 1,841 | $28K |
| D4910 | 4.6% | 308 | 308 | $24K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 3,800 | 1,210 | $16K |
| D4341 | 2.6% | 196 | 54 | $14K | |
| D0350 | 2.6% | 1,272 | 442 | $13K |
6 more codes
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.