Clinic
Staudhammer Dental Corporation
Staudhammer Dental Corporation was paid $23K by Medicaid between Jan 2023 and Nov 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 56% of everything it billed.
33Billing provider infoSTAUDHAMMER DENTAL CORPORATION
VICTORVILLE, CA 92395
VICTORVILLE, CA 92395
33aNPI1912576521assigned 06/18/2021
33bProvider typeDental Clinic/Center
28Total paid$23K
24GClaims604
24DCodes billed7
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#875 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 380 | $16K | |
| 2024incomplete | 224 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 56% | 195 | 195 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 74 | 74 | $4K |
| D1110 | Prophylaxis - adult | 9.8% | 25 | 25 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 39 | 39 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 87 | 87 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 160 | 73 | $639.90 |
| D0274 | Bitewings - four radiographic images | 2.2% | 24 | 24 | $496.80 |
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 officialSTAUDHAMMER, DEBRA (PRESIDENT)