Dental
Robles, Mario
Robles, Mario was paid $54K by Medicaid between Dec 2022 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoROBLES, MARIO
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1740477470assigned 09/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$54K
24GClaims3,839
24DCodes billed12
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,771 of 2,668
Median peer was paid$173K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 56 | $234.90 | |
| 2023 | 2,047 | $27K | |
| 2024incomplete | 1,736 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 192 | 192 | $14K |
| D9430 | 18% | 299 | 246 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 2,181 | 663 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 578 | 483 | $6K |
| D1206 | Topical application of fluoride varnish | 8.1% | 281 | 280 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 53 | 53 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.1% | 50 | 25 | $3K |
| D2140 | 3.9% | 41 | 14 | $2K | |
| D0350 | 2.1% | 127 | 45 | $1K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 13 | 13 | $682.50 |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 12 | 12 | $576.00 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $216.00 |
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.