Dental
Ep Poblete Dental Corporation
Ep Poblete Dental Corporation was paid $27K by Medicaid between Aug 2018 and Oct 2024, across 9 billing codes. Its largest line is D9430, — 44% of everything it billed.
33Billing provider infoEP POBLETE DENTAL CORPORATION
BURBANK, CA 91506
BURBANK, CA 91506
33aNPI1588945307assigned 09/07/2011
33bProvider typeDentist
28Total paid$27K
24GClaims1,247
24DCodes billed9
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,692 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | 208 | $4K | |
| 2019 | 45 | $267.30 | |
| 2020 | 115 | $1K | |
| 2021 | 115 | $4K | |
| 2022 | 688 | $15K | |
| 2023 | 47 | $2K | |
| 2024incomplete | 29 | $928.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 44% | 372 | 308 | $12K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 95 | 95 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 537 | 101 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 41 | 14 | $2K |
| D1110 | Prophylaxis - adult | 5.9% | 18 | 18 | $2K |
| D0274 | Bitewings - four radiographic images | 5.6% | 73 | 73 | $2K |
| D1206 | Topical application of fluoride varnish | 3.5% | 54 | 54 | $950.00 |
| D0350 | 1.6% | 42 | 16 | $441.60 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 14 | $180.00 |
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 officialPOBLETE, EDITHA (DENTIST)