Clinic
Rancho Dental Office
Rancho Dental Office was paid $814K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 14% of everything it billed.
33Billing provider infoRANCHO DENTAL OFFICE
RIALTO, CA 92377
RIALTO, CA 92377
33aNPI1750576096assigned 09/10/2007
33bProvider typeDental Clinic/Center
28Total paid$814K
24GClaims24,649
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#277 of 1,135
Median peer was paid$200K
This provider vs. median4.1×
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 | 5,341 | $121K | |
| 2019 | 6,599 | $198K | |
| 2020 | 3,991 | $106K | |
| 2021 | 3,484 | $109K | |
| 2022 | 2,165 | $84K | |
| 2023 | 1,888 | $119K | |
| 2024incomplete | 1,181 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,777 | 1,777 | $111K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,944 | 1,943 | $100K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,401 | 571 | $94K |
| D2740 | Crown - porcelain/ceramic | 9.8% | 168 | 112 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 1,859 | 1,856 | $63K |
| D9430 | 7.2% | 1,840 | 1,618 | $59K | |
| D1351 | Sealant - per tooth | 6.7% | 2,523 | 676 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 840 | 840 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 709 | 355 | $38K |
| D0330 | Panoramic radiographic image | 4.3% | 1,198 | 1,197 | $35K |
| D0350 | 3.6% | 3,082 | 960 | $30K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 2,329 | 2,328 | $26K |
15 more codes
| D0274 | Bitewings - four radiographic images | 1.9% | 739 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 3,400 | $13K |
| D2954 | 1.2% | 96 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 111 | $9K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 16 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 61 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 88 | $5K |
| D1110 | Prophylaxis - adult | <1% | 47 | $4K |
| D4341 | <1% | 45 | $3K | |
| D2330 | <1% | 37 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 40 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 128 | $2K |
| D4910 | <1% | 14 | $1K | |
| D1999 | <1% | 144 | $184.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | $156.00 |
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 officialVILLARROEL, FERNANDO (OWNER)