Dental
Capistrano Dental Partnership
Capistrano Dental Partnership was paid $481K by Medicaid between Jan 2018 and Feb 2022, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoCAPISTRANO DENTAL PARTNERSHIP
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1780839951assigned 12/01/2008
33bProvider typeDentist
28Total paid$481K
24GClaims27,355
24DCodes billed26
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Dentist providers in California
Rank by total paid#800 of 2,314
Median peer was paid$185K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 8,609 | $170K | |
| 2019 | 7,585 | $132K | |
| 2020 | 5,159 | $79K | |
| 2021 | 5,548 | $91K | |
| 2022 | 454 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 2,569 | 2,561 | $108K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 2,820 | 2,802 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 10.0% | 11,623 | 3,376 | $48K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 3,267 | 3,243 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 624 | 617 | $33K |
| D0274 | Bitewings - four radiographic images | 5.0% | 1,132 | 1,131 | $24K |
| D0350 | 3.9% | 1,656 | 882 | $19K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 487 | 481 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 281 | 154 | $18K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.4% | 248 | 116 | $16K |
| D9993 | 3.2% | 248 | 248 | $15K | |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 327 | 323 | $14K |
14 more codes
| D7111 | 2.7% | 229 | $13K | |
| D1310 | 2.2% | 248 | $11K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 483 | $6K |
| D1351 | Sealant - per tooth | 1.1% | 253 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 397 | $4K |
| D4341 | <1% | 43 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 44 | $2K |
| D2160 | <1% | 26 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | $770.00 |
| D0330 | Panoramic radiographic image | <1% | 12 | $360.00 |
| D0601 | <1% | 16 | $240.00 | |
| D0603 | <1% | 14 | $195.00 | |
| D1999 | <1% | 261 | $40.00 |
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 officialSOLIMAN, KHALED (PARTNER)