Dental
Budiman, Herman
Budiman, Herman was paid $197K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoBUDIMAN, HERMAN
EL MONTE, CA 91732
EL MONTE, CA 91732
33aNPI1881777605assigned 10/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$197K
24GClaims7,734
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,292 of 2,668
Median peer was paid$173K
This provider vs. median1.1×
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 | 872 | $14K | |
| 2019 | 1,140 | $20K | |
| 2020 | 1,272 | $24K | |
| 2021 | 1,068 | $20K | |
| 2022 | 1,237 | $45K | |
| 2023 | 947 | $36K | |
| 2024incomplete | 1,198 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 1,115 | 1,110 | $68K |
| D1110 | Prophylaxis - adult | 18% | 410 | 409 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 476 | 474 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 581 | 580 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 3,550 | 1,366 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 695 | 679 | $8K |
| D0272 | Bitewings - two radiographic images | 2.4% | 389 | 389 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 243 | 242 | $4K |
| D1206 | Topical application of fluoride varnish | 1.1% | 240 | 240 | $2K |
| D9430 | <1% | 14 | 14 | $448.00 | |
| D0350 | <1% | 21 | 15 | $259.20 |
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.