Dental
DR Rusen Barstow Friendly Smiles Dental INC
DR Rusen Barstow Friendly Smiles Dental INC was paid $120K by Medicaid between Oct 2021 and Nov 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.
33Billing provider infoDR RUSEN BARSTOW FRIENDLY SMILES DENTAL INC
BARSTOW, CA 92311
BARSTOW, CA 92311
33aNPI1689342057assigned 09/01/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$120K
24GClaims10,866
24DCodes billed11
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,479 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 553 | $8K | |
| 2022 | 4,207 | $47K | |
| 2023 | 3,905 | $44K | |
| 2024incomplete | 2,201 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 575 | 571 | $38K |
| D0350 | 26% | 3,835 | 1,023 | $31K | |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 5,221 | 1,092 | $23K |
| D0274 | Bitewings - four radiographic images | 9.5% | 536 | 531 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 243 | 240 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 70 | 70 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 262 | 239 | $3K |
| D9430 | 2.1% | 80 | 76 | $3K | |
| D9110 | 1.0% | 19 | 12 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 13 | 13 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 12 | 12 | $980.00 |
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 officialRUSEN, RARES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR. Rusen Victorville Friendly Smiles Dental INC. | Victorville, CA | $156K |
| DR Rusen Elsinore Friendly Smiles Dental INC | Lake Elsinore, CA | $141K |
| DR Rusen Empire Friendly Smiles Dental INC | San Bernardino, CA | $86K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.