Dental
Calvillo and Penalba Dental Corp.
Calvillo and Penalba Dental Corp. was paid $2K by Medicaid between Feb 2020 and Mar 2022, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 73% of everything it billed.
33Billing provider infoCALVILLO AND PENALBA DENTAL CORP.
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1811390578assigned 10/08/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims42
24DCodes billed2
24AFirst – last monthFeb 2020 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,432 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 28 | $1K | |
| 2022 | 14 | $672.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 73% | 29 | 29 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 27% | 13 | 13 | $576.00 |
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 officialPENALBA, WILBERTO (OWNER/PRESIDENT)