Dental
NPI deactivated
Moreno Valley Dental Center
Moreno Valley Dental Center was paid $1.15M by Medicaid between Jan 2018 and Sep 2022, across 25 billing codes. Its largest line is D2140, — 17% of everything it billed.
33Billing provider infoMORENO VALLEY DENTAL CENTER
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1841485646assigned 09/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.15M
24GClaims55,939
24DCodes billed25
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#508 of 2,668
Median peer was paid$173K
This provider vs. median6.7×
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 | 13,710 | $288K | |
| 2019 | 12,555 | $272K | |
| 2020 | 10,799 | $221K | |
| 2021 | 11,864 | $221K | |
| 2022 | 7,011 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2140 | 17% | 3,560 | 1,637 | $192K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,639 | 3,638 | $171K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,868 | 3,864 | $123K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.4% | 26,241 | 4,889 | $108K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 1,766 | 1,713 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 1,144 | 1,143 | $68K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.4% | 750 | 510 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 4,409 | 4,405 | $49K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 415 | 314 | $47K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.1% | 474 | 342 | $47K |
| D0274 | Bitewings - four radiographic images | 3.6% | 1,956 | 1,956 | $41K |
| D9993 | 3.4% | 624 | 624 | $40K |
13 more codes
| D0350 | 3.0% | 3,459 | $35K | |
| D1310 | 2.7% | 694 | $31K | |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 542 | $25K |
| D0272 | Bitewings - two radiographic images | 1.5% | 1,490 | $17K |
| D1110 | Prophylaxis - adult | 1.1% | 149 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 174 | $10K |
| D7111 | <1% | 139 | $8K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 23 | $3K |
| D0602 | <1% | 135 | $2K | |
| D0603 | <1% | 128 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 114 | $1K |
| D4910 | <1% | 15 | $1K | |
| D1351 | Sealant - per tooth | <1% | 31 | $682.00 |
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 officialDICKEY, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| James E. Dickey D.D.S. A.P.C. | Los Angeles, CA | $616K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.