Dental
Claremont Design Dentistry
Claremont Design Dentistry was paid $108K by Medicaid between Nov 2020 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoCLAREMONT DESIGN DENTISTRY
CLAREMONT, CA 91711
CLAREMONT, CA 91711
33aNPI1750730420assigned 06/03/2016
33bProvider typeDentist
28Total paid$108K
24GClaims3,262
24DCodes billed12
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,340 of 2,314
Median peer was paid$185K
This provider vs. median0.6×
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 | 79 | $5K | |
| 2021 | 588 | $26K | |
| 2022 | 1,123 | $34K | |
| 2023 | 923 | $33K | |
| 2024incomplete | 549 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 368 | 366 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 403 | 403 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 186 | 182 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 9.0% | 204 | 204 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 527 | 522 | $7K |
| D4910 | 5.8% | 82 | 81 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 1,254 | 210 | $5K |
| D0274 | Bitewings - four radiographic images | 2.4% | 122 | 118 | $3K |
| D9430 | 1.2% | 40 | 36 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 51 | 51 | $878.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $682.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $144.00 |
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 officialJEKKI, RAMI (OWNER)