Dental
Ruby Dacio DDS Andlutgarda Perez DDS Dental Corp
Ruby Dacio DDS Andlutgarda Perez DDS Dental Corp was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoRUBY DACIO DDS ANDLUTGARDA PEREZ DDS DENTAL CORP
SHAFTER, CA 93263
SHAFTER, CA 93263
33aNPI1871761072assigned 02/11/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.59M
24GClaims66,996
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#376 of 2,668
Median peer was paid$173K
This provider vs. median9.2×
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 | 13,566 | $253K | |
| 2019 | 10,277 | $257K | |
| 2020 | 6,668 | $147K | |
| 2021 | 7,584 | $151K | |
| 2022 | 9,512 | $249K | |
| 2023 | 9,618 | $249K | |
| 2024incomplete | 9,771 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 6,526 | 6,508 | $368K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 6,727 | 6,700 | $260K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 2,444 | 1,420 | $160K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 28,354 | 8,350 | $113K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 1,666 | 1,656 | $105K |
| D1206 | Topical application of fluoride varnish | 6.4% | 8,346 | 8,312 | $101K |
| D1110 | Prophylaxis - adult | 6.3% | 1,174 | 1,171 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 1,078 | 666 | $72K |
| D0274 | Bitewings - four radiographic images | 4.1% | 3,051 | 3,048 | $65K |
| D2140 | 3.0% | 913 | 637 | $47K | |
| D9110 | 2.9% | 735 | 720 | $46K | |
| D0272 | Bitewings - two radiographic images | 2.0% | 2,772 | 2,751 | $32K |
14 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 570 | $32K |
| D2160 | 1.1% | 241 | $18K | |
| D1351 | Sealant - per tooth | <1% | 553 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 251 | $14K |
| D9993 | <1% | 255 | $12K | |
| D1310 | <1% | 255 | $12K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 157 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 512 | $5K |
| D2330 | <1% | 40 | $3K | |
| D9430 | <1% | 57 | $2K | |
| D0603 | <1% | 37 | $495.00 | |
| D0350 | <1% | 18 | $172.80 | |
| D0270 | <1% | 24 | $120.00 | |
| D3120 | 0% | 240 | $0.00 |
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 officialDACIO, RUBY (CFO)