Dental
Crescenta Family Dental
Crescenta Family Dental was paid $17K by Medicaid between Feb 2018 and Mar 2021, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 74% of everything it billed.
33Billing provider infoCRESCENTA FAMILY DENTAL
LA CRESCENTA, CA 91214
LA CRESCENTA, CA 91214
33aNPI1801087176assigned 08/05/2007
33bProvider typeDentist
28Total paid$17K
24GClaims539
24DCodes billed7
24AFirst – last monthFeb 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,792 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | 295 | $8K | |
| 2019 | 118 | $4K | |
| 2020 | 100 | $4K | |
| 2021 | 26 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 74% | 248 | 237 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 6.4% | 33 | 30 | $1K |
| D1110 | Prophylaxis - adult | 5.9% | 12 | 12 | $990.00 |
| D9430 | 4.9% | 27 | 26 | $832.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 52 | 52 | $546.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 139 | 65 | $542.25 |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 28 | 28 | $326.00 |
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 officialHAKIMI, SEAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vista Village Dental | Santa Clarita, CA | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.