Dental
UCSF Pediatric Dentistry
UCSF Pediatric Dentistry was paid $5.40M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoUCSF PEDIATRIC DENTISTRY
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
33aNPI1619041365assigned 11/17/2006
33bProvider typePediatric Dentist
28Total paid$5.40M
24GClaims130,932
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#53 of 332
Median peer was paid$450K
This provider vs. median12×
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 | 15,660 | $681K | |
| 2019 | 12,687 | $679K | |
| 2020 | 14,321 | $704K | |
| 2021 | 20,717 | $1.02M | |
| 2022 | 17,479 | $776K | |
| 2023 | 23,224 | $732K | |
| 2024incomplete | 26,844 | $806K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 11,980 | 1,730 | $1.36M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 24,610 | 24,532 | $1.21M |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 9,181 | 9,158 | $565K |
| D7140 | Extraction, erupted tooth or exposed root | 8.8% | 8,668 | 2,708 | $477K |
| D9420 | 6.9% | 4,025 | 2,383 | $370K | |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 6,515 | 6,497 | $276K |
| D1351 | Sealant - per tooth | 3.7% | 6,911 | 2,248 | $200K |
| D1206 | Topical application of fluoride varnish | 2.0% | 6,491 | 6,463 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 28,146 | 6,968 | $108K |
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 1,813 | 1,813 | $97K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 946 | 460 | $90K |
| D1310 | 1.5% | 2,157 | 2,145 | $83K |
22 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,299 | $66K |
| D2330 | 1.2% | 870 | $64K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 5,141 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 891 | $58K |
| D9920 | <1% | 300 | $33K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,633 | $30K |
| D0603 | <1% | 2,479 | $27K | |
| D1510 | <1% | 228 | $27K | |
| D1354 | <1% | 2,621 | $26K | |
| D0274 | Bitewings - four radiographic images | <1% | 774 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 346 | $13K |
| D9430 | <1% | 258 | $8K | |
| D2390 | <1% | 76 | $8K | |
| D0330 | Panoramic radiographic image | <1% | 198 | $6K |
| D0350 | <1% | 395 | $3K | |
| D1352 | <1% | 95 | $2K | |
| D2940 | <1% | 36 | $1K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 216 | $962.50 |
| D0602 | <1% | 75 | $763.50 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $708.00 |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 313 | $0.00 |
| D9222 | 0% | 220 | $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 officialBERTOLAMI, CHARLES (DEAN SCHOOL OF DENTISTRY)
| Provider | Location | Paid |
|---|---|---|
| UCSF Division of Orthodontics | San Francisco, CA | $615K |
| UCSF Periodontal Specialty Clinic | San Francisco, CA | $38K |
| Postgraduate Endodontics | San Francisco, CA | $15K |
| UCSF Center for Craniofacial Anomalies | San Francisco, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.