Dental
Children's Dental Foundation
Children's Dental Foundation was paid $7.09M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL FOUNDATION
LONG BEACH, CA 90806
LONG BEACH, CA 90806
33aNPI1760517213assigned 02/23/2007
33bProvider typeDental Assistant
28Total paid$7.09M
24GClaims200,875
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
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 | 35,652 | $1.05M | |
| 2019 | 33,783 | $1.10M | |
| 2020 | 22,372 | $748K | |
| 2021 | 26,732 | $882K | |
| 2022 | 27,482 | $1.09M | |
| 2023 | 27,514 | $1.12M | |
| 2024incomplete | 27,340 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 22,553 | 22,481 | $1.25M |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 30,048 | 29,923 | $1.16M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.2% | 4,324 | 1,767 | $509K |
| D1206 | Topical application of fluoride varnish | 5.9% | 29,972 | 29,848 | $421K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 25,857 | 25,545 | $415K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 5,706 | 3,144 | $380K |
| D1310 | 4.7% | 7,383 | 7,363 | $333K | |
| D7111 | 3.7% | 4,610 | 1,985 | $263K | |
| D1351 | Sealant - per tooth | 3.5% | 9,152 | 3,716 | $245K |
| D0274 | Bitewings - four radiographic images | 3.3% | 11,220 | 11,175 | $237K |
| D9993 | 3.2% | 3,602 | 3,601 | $229K | |
| D8670 | Periodic orthodontic treatment visit | 3.0% | 722 | 720 | $215K |
24 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 3,841 | $205K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,954 | $185K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 4,054 | $158K |
| D9920 | 2.0% | 1,305 | $141K | |
| D9430 | 1.6% | 3,703 | $117K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 1,677 | $111K |
| D0272 | Bitewings - two radiographic images | 1.5% | 9,104 | $106K |
| D0350 | 1.4% | 6,605 | $102K | |
| D0603 | 1.0% | 5,054 | $74K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,219 | $43K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 427 | $42K |
| D2330 | <1% | 401 | $30K | |
| D0602 | <1% | 1,856 | $28K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,922 | $23K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 300 | $15K |
| D9420 | <1% | 149 | $12K | |
| D1354 | <1% | 856 | $10K | |
| D2160 | <1% | 99 | $8K | |
| D1510 | <1% | 68 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 29 | $2K |
| D2140 | <1% | 14 | $655.20 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $576.00 |
| D0601 | <1% | 33 | $495.00 | |
| D0270 | <1% | 43 | $215.00 |
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 officialBLAKE, JOHN (DENTAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Children's Dental Foundation | Avalon, CA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.