Dental
Acevedo Dental Office, INC.
Acevedo Dental Office, INC. was paid $154K by Medicaid between Oct 2018 and May 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 44% of everything it billed.
33Billing provider infoACEVEDO DENTAL OFFICE, INC.
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1790201762assigned 08/21/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$154K
24GClaims3,823
24DCodes billed13
24AFirst – last monthOct 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,385 of 2,668
Median peer was paid$173K
This provider vs. median0.9×
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 | 77 | $4K | |
| 2019 | 434 | $18K | |
| 2020 | 745 | $26K | |
| 2021 | 746 | $31K | |
| 2022 | 833 | $33K | |
| 2023 | 680 | $26K | |
| 2024incomplete | 308 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 44% | 1,018 | 1,018 | $67K |
| D0210 | Intraoral - complete series of radiographic images | 24% | 799 | 799 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 139 | 61 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 261 | 259 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 119 | 111 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 123 | 44 | $7K |
| D0350 | 3.6% | 635 | 633 | $6K | |
| D0330 | Panoramic radiographic image | 2.4% | 121 | 121 | $4K |
| D0274 | Bitewings - four radiographic images | 1.8% | 158 | 150 | $3K |
| D1110 | Prophylaxis - adult | 1.3% | 25 | 25 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 367 | 193 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 46 | 46 | $318.00 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 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 officialACEVEDO, LIDYA (OWNER)
Parent organizationACEVEDO DENTAL OFFICE INC.
| Provider | Location | Paid |
|---|---|---|
| Soraya Acevedo DDS, INC. | Montebello, CA | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.