Dental
Arredondo,manuel Dental Corporation
Arredondo,manuel Dental Corporation was paid $63K by Medicaid between Dec 2020 and Jul 2022, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoARREDONDO,MANUEL DENTAL CORPORATION
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
33aNPI1639379803assigned 07/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$63K
24GClaims2,332
24DCodes billed13
24AFirst – last monthDec 2020 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,711 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 | |
|---|---|---|---|
| 2020 | 118 | $4K | |
| 2021 | 1,615 | $43K | |
| 2022 | 599 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 209 | 209 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 231 | 229 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 69 | 69 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 8.0% | 106 | 106 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 884 | 466 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 49 | 27 | $3K |
| D0274 | Bitewings - four radiographic images | 4.9% | 144 | 144 | $3K |
| D0350 | 4.7% | 315 | 139 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 202 | 159 | $2K |
| D9430 | 2.0% | 40 | 40 | $1K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 26 | 26 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | 26 | $292.00 |
1 more codes
| D0270 | <1% | 31 | $155.00 |
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 officialARREDONDO, MANUEL (OWNER)