Clinic
Dentalville
Dentalville was paid $1.25M by Medicaid between Jan 2018 and Feb 2022, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoDENTALVILLE
BELL, CA 90201
BELL, CA 90201
33aNPI1700083078assigned 06/29/2007
33bProvider typeDental Clinic/Center
28Total paid$1.25M
24GClaims72,777
24DCodes billed28
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#213 of 1,135
Median peer was paid$200K
This provider vs. median6.3×
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 | 19,573 | $344K | |
| 2019 | 20,402 | $377K | |
| 2020 | 17,069 | $301K | |
| 2021 | 14,722 | $213K | |
| 2022 | 1,011 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 5,187 | 5,186 | $220K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 2,528 | 1,158 | $169K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 39,252 | 6,949 | $155K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,717 | 4,715 | $143K |
| D0274 | Bitewings - four radiographic images | 7.4% | 4,360 | 4,357 | $92K |
| D2140 | 6.6% | 1,549 | 697 | $83K | |
| D1351 | Sealant - per tooth | 3.8% | 2,249 | 771 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 736 | 736 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 4,761 | 4,759 | $44K |
| D7111 | 3.5% | 758 | 388 | $43K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 941 | 940 | $37K |
| D8670 | Periodic orthodontic treatment visit | 2.5% | 107 | 106 | $31K |
16 more codes
| D0350 | 2.2% | 2,460 | $27K | |
| D2160 | 2.1% | 341 | $27K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 142 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.0% | 112 | $13K |
| D0272 | Bitewings - two radiographic images | 1.0% | 1,096 | $13K |
| D2330 | <1% | 144 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 748 | $9K |
| D9993 | <1% | 139 | $8K | |
| D1310 | <1% | 139 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 84 | $6K |
| D4341 | <1% | 52 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 83 | $3K |
| D4910 | <1% | 27 | $2K | |
| D9430 | <1% | 27 | $864.00 | |
| D1110 | Prophylaxis - adult | <1% | 12 | $480.00 |
| D0603 | <1% | 26 | $390.00 |
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 officialMCKAY, EVELYN (OFFICE MANAGER)