Managed care
Raul J. Vallejo D. D. S., INC.
Raul J. Vallejo D. D. S., INC. was paid $39K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 21% of everything it billed.
33Billing provider infoRAUL J. VALLEJO D. D. S., INC.
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1699120683assigned 04/27/2016
33bProvider typePoint of Service
28Total paid$39K
24GClaims1,595
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#24 of 45
Median peer was paid$42K
This provider vs. median0.9×
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 | 633 | $14K | |
| 2019 | 324 | $7K | |
| 2020 | 12 | $540.00 | |
| 2022 | 222 | $4K | |
| 2023 | 205 | $8K | |
| 2024incomplete | 199 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 21% | 179 | 178 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 137 | 137 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 186 | 186 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 70 | 37 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.8% | 785 | 162 | $3K |
| D4341 | 7.5% | 43 | 12 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.3% | 37 | 26 | $2K |
| D1206 | Topical application of fluoride varnish | 2.8% | 82 | 82 | $1K |
| D0272 | Bitewings - two radiographic images | 1.8% | 64 | 64 | $716.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $360.00 |
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 officialVALLEJO, RAUL (DENTIST)