Dental
Pleasant Valley Dental
Pleasant Valley Dental was paid $90K by Medicaid between Jan 2018 and Jun 2018, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 70% of everything it billed.
33Billing provider infoPLEASANT VALLEY DENTAL
EL DORADO, CA 95623
EL DORADO, CA 95623
33aNPI1790921989assigned 12/18/2008
33bProvider typeDentist
28Total paid$90K
24GClaims1,852
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,397 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | 1,852 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 70% | 544 | 145 | $63K |
| D7140 | Extraction, erupted tooth or exposed root | 20% | 326 | 68 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 516 | 201 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 262 | 261 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 77 | 74 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 26 | 26 | $910.00 |
| D9430 | <1% | 29 | 29 | $812.00 | |
| D9610 | <1% | 72 | 71 | $21.00 |
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 officialGOODIS, MITCHELL (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Diamond Springs Dental | Diamond Springs, CA | $511K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.