Dental
Anthony W. Deza D.D.S.,Inc
Anthony W. Deza D.D.S.,Inc was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoANTHONY W. DEZA D.D.S.,INC
SAN BERNARDINO, CA 92405
SAN BERNARDINO, CA 92405
33aNPI1700050507assigned 04/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$3.66M
24GClaims134,149
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#149 of 2,668
Median peer was paid$173K
This provider vs. median21×
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 | 28,486 | $397K | |
| 2019 | 11,519 | $252K | |
| 2020 | 4,634 | $106K | |
| 2021 | 21,313 | $584K | |
| 2022 | 21,645 | $614K | |
| 2023 | 23,897 | $852K | |
| 2024incomplete | 22,655 | $860K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 9,579 | 9,551 | $546K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 6,349 | 6,334 | $396K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 9,805 | 9,777 | $381K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.9% | 61,203 | 14,617 | $363K |
| D2751 | Crown - porcelain fused to predominantly base metal | 9.5% | 729 | 572 | $347K |
| D1110 | Prophylaxis - adult | 6.9% | 2,982 | 2,965 | $254K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.1% | 3,375 | 1,930 | $225K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 12,348 | 12,309 | $145K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 1,163 | 809 | $137K |
| D0274 | Bitewings - four radiographic images | 3.2% | 5,641 | 5,614 | $117K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 1,638 | 907 | $93K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 1,898 | 1,894 | $78K |
21 more codes
| D2140 | 2.1% | 1,407 | $77K | |
| D1351 | Sealant - per tooth | 1.9% | 2,544 | $70K |
| D0272 | Bitewings - two radiographic images | 1.6% | 5,090 | $60K |
| D2954 | 1.6% | 559 | $58K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.4% | 111 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 891 | $49K |
| D2740 | Crown - porcelain/ceramic | 1.2% | 96 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 3,524 | $41K |
| D2160 | 1.1% | 486 | $39K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 415 | $28K |
| D1206 | Topical application of fluoride varnish | <1% | 923 | $16K |
| D4341 | <1% | 200 | $14K | |
| D9430 | <1% | 441 | $12K | |
| D4910 | <1% | 70 | $5K | |
| D2931 | <1% | 33 | $4K | |
| D2330 | <1% | 53 | $4K | |
| D0350 | <1% | 462 | $4K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 33 | $3K |
| D1310 | <1% | 44 | $2K | |
| D9993 | <1% | 31 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 26 | $780.00 |
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 officialDEZA, ANTHONY (CEO)