Dental
San Gabriel Valley Foundation for Dental Health
San Gabriel Valley Foundation for Dental Health was paid $474.00 by Medicaid between Feb 2018 and Feb 2018, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 76% of everything it billed.
33Billing provider infoSAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH
LA PUENTE, CA 91746
LA PUENTE, CA 91746
33aNPI1700189495assigned 12/18/2010
33bProvider typePediatric Dentist
28Total paid$474.00
24GClaims44
24DCodes billed3
24AFirst – last monthFeb 2018 – Feb 2018
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#322 of 332
Median peer was paid$450K
This provider vs. median0.0×
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 | 44 | $474.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 76% | 14 | 13 | $360.00 |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 15 | 14 | $114.00 |
| D1330 | 0% | 15 | 13 | $0.00 |
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 officialCONTINO, SONDRA (DIRECTOR)