Dental
Feldkamp Cal Select Dental Group, INC.
Feldkamp Cal Select Dental Group, INC. was paid $2.94M by Medicaid between Nov 2019 and Dec 2024, across 34 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoFELDKAMP CAL SELECT DENTAL GROUP, INC.
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
33aNPI1669036117assigned 04/30/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$2.94M
24GClaims69,568
24DCodes billed34
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#197 of 2,668
Median peer was paid$173K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 1,592 | $69K | |
| 2020 | 18,399 | $825K | |
| 2021 | 17,850 | $770K | |
| 2022 | 14,112 | $640K | |
| 2023 | 10,061 | $411K | |
| 2024incomplete | 7,554 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 7,452 | 7,443 | $492K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 3,295 | 1,746 | $384K |
| D1110 | Prophylaxis - adult | 11% | 3,578 | 3,570 | $315K |
| D0210 | Intraoral - complete series of radiographic images | 9.2% | 5,682 | 5,672 | $269K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 3,046 | 3,030 | $199K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 3,943 | 3,934 | $152K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 2,016 | 1,082 | $134K |
| D4910 | 4.3% | 1,654 | 1,646 | $126K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 15,376 | 5,657 | $109K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 7,207 | 7,192 | $95K |
| D4341 | 2.9% | 1,213 | 360 | $84K | |
| D0274 | Bitewings - four radiographic images | 2.2% | 3,142 | 3,126 | $66K |
22 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 1,146 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 780 | $45K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.5% | 93 | $44K |
| D4342 | 1.5% | 1,021 | $43K | |
| D9993 | 1.4% | 629 | $40K | |
| D9430 | 1.3% | 1,198 | $38K | |
| D1351 | Sealant - per tooth | 1.3% | 1,434 | $37K |
| D7230 | 1.2% | 194 | $37K | |
| D1310 | 1.2% | 816 | $37K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 386 | $31K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.0% | 66 | $31K |
| D0272 | Bitewings - two radiographic images | <1% | 1,686 | $20K |
| D0601 | <1% | 815 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 730 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 398 | $6K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 21 | $5K |
| D3320 | <1% | 13 | $5K | |
| D2330 | <1% | 55 | $4K | |
| D0350 | <1% | 366 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 87 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | $560.00 |
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 officialFELDKAMP III, IRVING (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Feldkamp Cal Select Dental Group, INC. | Hesperia, CA | $715K |
| Feldkamp Cal Select Dental Group, INC. | Riverside, CA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.