Dental
Palm Bluffs Dental Group, INC. Practice of DR. Prieto
Palm Bluffs Dental Group, INC. Practice of DR. Prieto was paid $2.38M by Medicaid between Jun 2023 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 43% of everything it billed.
33Billing provider infoPALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
FRESNO, CA 93711
FRESNO, CA 93711
33aNPI1619694734assigned 10/20/2022
33bProvider typePublic Health Dentist
28Total paid$2.38M
24GClaims24,994
24DCodes billed18
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in California
Rank by total paid#3 of 40
Median peer was paid$122K
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 | |
|---|---|---|---|
| 2023 | 6,581 | $673K | |
| 2024incomplete | 18,413 | $1.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 43% | 8,519 | 1,187 | $1.01M |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 26% | 2,195 | 1,224 | $611K |
| D3240 | 7.6% | 1,848 | 656 | $181K | |
| D9222 | 5.7% | 1,207 | 1,205 | $135K | |
| D3230 | 4.0% | 973 | 339 | $94K | |
| D9610 | 3.9% | 2,013 | 1,218 | $92K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 1,339 | 425 | $76K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 1,076 | 1,056 | $69K |
| D2330 | <1% | 276 | 140 | $22K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 267 | 130 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 315 | 168 | $17K |
| D0350 | <1% | 1,296 | 478 | $13K |
6 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 officialPRIETO, JORDAN (DDS/OWNER)