Dental
South California Dental Practice
South California Dental Practice was paid $1.44M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoSOUTH CALIFORNIA DENTAL PRACTICE
STOCKTON, CA 95202
STOCKTON, CA 95202
33aNPI1588809875assigned 12/16/2008
33bProvider typeDentist
28Total paid$1.44M
24GClaims51,770
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#376 of 2,314
Median peer was paid$185K
This provider vs. median7.8×
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 | 10,911 | $279K | |
| 2019 | 9,299 | $241K | |
| 2020 | 6,436 | $147K | |
| 2021 | 7,494 | $175K | |
| 2022 | 6,261 | $197K | |
| 2023 | 6,242 | $215K | |
| 2024incomplete | 5,127 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 5,940 | 5,936 | $309K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 6,425 | 6,412 | $237K |
| D1351 | Sealant - per tooth | 11% | 6,007 | 1,392 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,522 | 2,517 | $152K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 7,326 | 7,310 | $93K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 1,890 | 1,886 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 1,102 | 661 | $73K |
| D1110 | Prophylaxis - adult | 4.3% | 725 | 724 | $62K |
| D0274 | Bitewings - four radiographic images | 3.5% | 2,433 | 2,432 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 778 | 367 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 10,290 | 5,682 | $41K |
| D9430 | 1.9% | 914 | 870 | $28K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 2,145 | $25K |
| D0272 | Bitewings - two radiographic images | 1.0% | 1,253 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 216 | $14K |
| D1310 | <1% | 327 | $14K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 171 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 71 | $8K |
| D9993 | <1% | 194 | $6K | |
| D0603 | <1% | 281 | $4K | |
| D0240 | <1% | 355 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $918.40 |
| D1999 | 0% | 389 | $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 officialHU, WEI-CHIANG (CEO)