Dental
Fountain Modern Dentistry and Orthodontics, LLP
Fountain Modern Dentistry and Orthodontics, LLP was paid $837.00 by Medicaid between Jun 2020 and Jun 2020, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoFOUNTAIN MODERN DENTISTRY AND ORTHODONTICS, LLP
IRVINE, CA 92606
IRVINE, CA 92606
33aNPI1730434622assigned 07/17/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$837.00
24GClaims25
24DCodes billed2
24AFirst – last monthJun 2020 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,528 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2020 | 25 | $837.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 13 | 13 | $429.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 12 | 12 | $408.00 |
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 officialRODGERS, CHARLES (DDS/ OWNER)
| Provider | Location | Paid |
|---|---|---|
| North Powers Modern Dentistry, LLP | Colorado Springs, CO | $2K |
| Brighton Modern Dentistry and Orthodontics, LLP | Brighton, CO | $462.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.