Dental
Jorge Vital DDS INC
Jorge Vital DDS INC was paid $658K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 24% of everything it billed.
33Billing provider infoJORGE VITAL DDS INC
SANTA ANA, CA 92701
SANTA ANA, CA 92701
33aNPI1669868253assigned 04/09/2015
33bProvider typeDentist
28Total paid$658K
24GClaims10,689
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#683 of 2,314
Median peer was paid$185K
This provider vs. median3.5×
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 | 1,745 | $68K | |
| 2019 | 1,125 | $50K | |
| 2020 | 1,124 | $44K | |
| 2021 | 985 | $31K | |
| 2022 | 1,437 | $78K | |
| 2023 | 1,592 | $121K | |
| 2024incomplete | 2,681 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 24% | 333 | 206 | $158K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 2,025 | 2,018 | $129K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,419 | 875 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,419 | 1,417 | $69K |
| D1110 | Prophylaxis - adult | 9.2% | 710 | 710 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 1,355 | 1,355 | $49K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 886 | 883 | $41K |
| D0330 | Panoramic radiographic image | 4.6% | 1,040 | 1,038 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 298 | 154 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 183 | 121 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 652 | 652 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 318 | 318 | $4K |
1 more codes
| D3221 | <1% | 51 | $3K |
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 officialVITAL, JORGE (OWNER)