Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Sofia Rodriguez DDS, INC.

Sofia Rodriguez DDS, INC. was paid $823K by Medicaid between Aug 2018 and Dec 2024, across 23 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 13% of everything it billed.

33Billing provider infoSOFIA RODRIGUEZ DDS, INC.
LAKE FOREST, CA 92630
33aNPI1811497167assigned 02/13/2018
33bProvider typeDentist
28Total paid$823K
24GClaims22,621
24DCodes billed23
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#580 of 2,314
Median peer was paid$185K
This provider vs. median4.4×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018178$10K
20191,377$49K
20201,791$63K
20213,602$93K
20225,157$150K
20235,274$224K
2024incomplete5,242$234K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 13% 1,575 1,570 $104K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 1,463 844 $97K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 1,653 901 $89K
D4910 9.6% 1,041 1,037 $79K
D2751 Crown - porcelain fused to predominantly base metal 9.2% 160 139 $76K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.5% 1,038 1,030 $70K
D0210 Intraoral - complete series of radiographic images 8.3% 1,441 1,434 $68K
D4341 6.9% 806 216 $56K
D0350 5.3% 4,407 1,680 $43K
D1120 Dental cleaning, childProphylaxis - child 4.9% 890 886 $40K
D9430 2.9% 743 681 $24K
D1208 Topical application of fluoride, excluding varnish 2.7% 1,731 1,725 $23K
11 more codes
D0230 Intraoral - periapical each additional radiographic image 2.1% 4,169 $17K
D0274 Bitewings - four radiographic images 2.0% 819 $17K
D0330 Panoramic radiographic image <1% 211 $6K
D2954 <1% 32 $3K
D1320 <1% 194 $3K
D1110 Prophylaxis - adult <1% 28 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 17 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 21 $2K
D0220 Intraoral - periapical first radiographic image <1% 125 $2K
D1206 Topical application of fluoride varnish <1% 41 $386.00
D0270 <1% 16 $80.00

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, SOFIA (PRESIDENT)