Clinic
Castaneda Fassioli Dental Corp
Castaneda Fassioli Dental Corp was paid $629K by Medicaid between May 2018 and Dec 2024, across 19 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoCASTANEDA FASSIOLI DENTAL CORP
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
33aNPI1598270993assigned 12/07/2017
33bProvider typeDental Clinic/Center
28Total paid$629K
24GClaims17,248
24DCodes billed19
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#324 of 1,135
Median peer was paid$200K
This provider vs. median3.1×
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 | 2,910 | $122K | |
| 2019 | 5,196 | $197K | |
| 2020 | 3,960 | $157K | |
| 2021 | 4,128 | $130K | |
| 2022 | 325 | $8K | |
| 2023 | 511 | $10K | |
| 2024incomplete | 218 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 2,082 | 2,082 | $134K |
| D1110 | Prophylaxis - adult | 17% | 1,225 | 1,224 | $108K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 1,821 | 1,820 | $86K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 943 | 555 | $63K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.4% | 340 | 144 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 2,325 | 2,324 | $30K |
| D2140 | 4.4% | 507 | 251 | $28K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 490 | 490 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 747 | 747 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 294 | 137 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 3,802 | 712 | $16K |
| D0350 | 2.0% | 1,222 | 544 | $12K |
7 more codes
| D0330 | Panoramic radiographic image | 1.9% | 393 | $12K |
| D0274 | Bitewings - four radiographic images | 1.3% | 387 | $8K |
| D1351 | Sealant - per tooth | 1.3% | 367 | $8K |
| D2330 | 1.2% | 97 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 95 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 71 | $4K |
| D2160 | <1% | 40 | $3K |
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 officialCASTANEDA FASSIOLI, CAROLYN (CEO)