Dental
DR. Guillermo Rodriguez Dental Corp
DR. Guillermo Rodriguez Dental Corp was paid $75K by Medicaid between Jul 2019 and Oct 2021, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoDR. GUILLERMO RODRIGUEZ DENTAL CORP
SAN DIEGO, CA 92116
SAN DIEGO, CA 92116
33aNPI1609067321assigned 08/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims1,910
24DCodes billed14
24AFirst – last monthJul 2019 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,663 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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 | 172 | $7K | |
| 2020 | 492 | $20K | |
| 2021 | 1,246 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 328 | 328 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 240 | 114 | $16K |
| D1110 | Prophylaxis - adult | 11% | 92 | 92 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 430 | 372 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 128 | 68 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.5% | 167 | 166 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 41 | 41 | $2K |
| D0274 | Bitewings - four radiographic images | 2.4% | 87 | 87 | $2K |
| D0272 | Bitewings - two radiographic images | 2.4% | 150 | 150 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 34 | 34 | $2K |
| D9430 | 1.2% | 28 | 28 | $896.00 | |
| D1206 | Topical application of fluoride varnish | 1.1% | 54 | 54 | $792.00 |
2 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.
From NPPES
Who's on the registration
Authorized officialRODRIGUEZ, GUILLERMO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mindful Innovations Counseling Services, PLLC | San Antonio, TX | $555K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.