Dental
Farwest Dental Group
Farwest Dental Group was paid $105K by Medicaid between Jan 2018 and Apr 2019, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoFARWEST DENTAL GROUP
WILMINGTON, CA 90744
WILMINGTON, CA 90744
33aNPI1891910394assigned 04/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims7,631
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,537 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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 | 6,301 | $82K | |
| 2019 | 1,330 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 765 | 763 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 742 | 732 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 4,179 | 854 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 198 | 198 | $9K |
| D0274 | Bitewings - four radiographic images | 8.1% | 435 | 432 | $8K |
| D1206 | Topical application of fluoride varnish | 6.5% | 736 | 726 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.7% | 88 | 38 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 101 | 100 | $4K |
| D1351 | Sealant - per tooth | 3.2% | 159 | 59 | $3K |
| D2160 | 1.7% | 22 | 14 | $2K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 106 | 106 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | 12 | $490.00 |
2 more codes
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 officialFAYOUMI, HASSAN (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Farwest Dental Group, PC | Wilmington, CA | $6.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.