Managed care
Reseda Village Dental Studio
Reseda Village Dental Studio was paid $639.00 by Medicaid between May 2018 and May 2018, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoRESEDA VILLAGE DENTAL STUDIO
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1639491004assigned 02/25/2010
33bProvider typePreferred Provider Organization
28Total paid$639.00
24GClaims58
24DCodes billed4
24AFirst – last monthMay 2018 – May 2018
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#85 of 100
Median peer was paid$80K
This provider vs. median0.0×
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 | 58 | $639.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 17 | 16 | $195.00 |
| D1206 | Topical application of fluoride varnish | 26% | 15 | 14 | $168.00 |
| D0210 | Intraoral - complete series of radiographic images | 25% | 13 | 12 | $159.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 13 | 13 | $117.00 |
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 officialALEXANDER, CHARMAINE (OFFICE MANAGER)