Clinic
Fargo Dental Corporation
Fargo Dental Corporation was paid $80K by Medicaid between Sep 2022 and Dec 2024, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 52% of everything it billed.
33Billing provider infoFARGO DENTAL CORPORATION
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1609418987assigned 10/08/2019
33bProvider typeDental Clinic/Center
28Total paid$80K
24GClaims1,283
24DCodes billed5
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#719 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2022 | 92 | $5K | |
| 2023 | 150 | $9K | |
| 2024incomplete | 1,041 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 52% | 625 | 625 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 30% | 512 | 512 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.4% | 64 | 28 | $7K |
| D1110 | Prophylaxis - adult | 7.8% | 69 | 69 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $682.50 |
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 officialFARGO, BASSAM (CO-OWNER/DENTIST)