Dental
Raul A. Rodriguez DDS INC.
Raul A. Rodriguez DDS INC. was paid $167K by Medicaid between Jan 2018 and Nov 2023, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoRAUL A. RODRIGUEZ DDS INC.
BLOOMINGTON, CA 92316
BLOOMINGTON, CA 92316
33aNPI1811195001assigned 07/10/2007
33bProvider typeDentist
28Total paid$167K
24GClaims14,074
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,197 of 2,314
Median peer was paid$185K
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 | 3,527 | $40K | |
| 2019 | 3,579 | $43K | |
| 2020 | 2,003 | $22K | |
| 2021 | 1,314 | $13K | |
| 2022 | 2,150 | $31K | |
| 2023 | 1,501 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 1,181 | 1,172 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 24% | 9,783 | 1,919 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 708 | 694 | $22K |
| D0274 | Bitewings - four radiographic images | 12% | 980 | 974 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 1,102 | 1,086 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 129 | 128 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.1% | 31 | 24 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 49 | 37 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 46 | 46 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.0% | 26 | 15 | $2K |
| D1110 | Prophylaxis - adult | <1% | 13 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | 26 | $312.00 |
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 officialRODRIGUEZ, RAUL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| National Health Transport INC. | Miami, FL | $4.52M |
| Raul A. Rodriguez DDS INC. | Downey, CA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.