Managed care
Dominic DO DDS, INC
Dominic DO DDS, INC was paid $126K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoDOMINIC DO DDS, INC
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1851762918assigned 10/15/2015
33bProvider typeHealth Maintenance Organization
28Total paid$126K
24GClaims7,511
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#62 of 151
Median peer was paid$59K
This provider vs. median2.1×
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 | 462 | $5K | |
| 2019 | 752 | $9K | |
| 2020 | 375 | $3K | |
| 2021 | 1,054 | $15K | |
| 2022 | 1,211 | $30K | |
| 2023 | 1,757 | $32K | |
| 2024incomplete | 1,900 | $31K |
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% | 573 | 573 | $39K |
| D1110 | Prophylaxis - adult | 20% | 286 | 285 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 4,726 | 1,035 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,095 | 1,092 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 125 | 123 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 124 | 124 | $5K |
| D4910 | 4.0% | 67 | 67 | $5K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 120 | 120 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 272 | 266 | $3K |
| D0274 | Bitewings - four radiographic images | 2.1% | 123 | 123 | $3K |
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 officialDO, DOMINIC (PRESIDENT)