Dental
White Memorial Community Health Center
White Memorial Community Health Center was paid $3.56M by Medicaid between Oct 2018 and Dec 2024, across 17 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 70% of everything it billed.
33Billing provider infoWHITE MEMORIAL COMMUNITY HEALTH CENTER
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
33aNPI1619456928assigned 08/08/2018
33bProvider typeDentist
28Total paid$3.56M
24GClaims27,845
24DCodes billed17
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#144 of 2,314
Median peer was paid$185K
This provider vs. median19×
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 | 425 | $85K | |
| 2019 | 3,071 | $597K | |
| 2020 | 4,611 | $593K | |
| 2021 | 7,548 | $926K | |
| 2022 | 5,493 | $506K | |
| 2023 | 2,757 | $274K | |
| 2024incomplete | 3,940 | $581K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 70% | 10,740 | 10,171 | $2.48M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 30% | 8,869 | 5,405 | $1.06M |
| D1206 | Topical application of fluoride varnish | <1% | 2,483 | 2,448 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 466 | 466 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,780 | 1,751 | $3K |
| D1310 | <1% | 541 | 531 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 109 | 107 | $624.00 |
| D0603 | <1% | 299 | 293 | $465.00 | |
| D1351 | Sealant - per tooth | <1% | 22 | 14 | $364.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,177 | 939 | $251.00 |
| D0274 | Bitewings - four radiographic images | <1% | 369 | 361 | $203.40 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 533 | 424 | $37.50 |
5 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 officialCOAN, CARL (CEO)
Parent organizationWHITE MEMORIAL COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| White Memorial Community Health Center | Los Angeles, CA | $55.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.