Dental
Tracy KU D.D.S.,Inc
Tracy KU D.D.S.,Inc was paid $352K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoTRACY KU D.D.S.,INC
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
33aNPI1932249273assigned 02/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$352K
24GClaims13,789
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,035 of 2,668
Median peer was paid$173K
This provider vs. median2.0×
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 | 2,827 | $62K | |
| 2019 | 2,717 | $62K | |
| 2020 | 1,111 | $25K | |
| 2021 | 1,954 | $50K | |
| 2022 | 1,977 | $61K | |
| 2023 | 2,296 | $65K | |
| 2024incomplete | 907 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,497 | 1,490 | $125K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,508 | 1,494 | $82K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 836 | 829 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 7,839 | 1,628 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 427 | 426 | $26K |
| D0274 | Bitewings - four radiographic images | 5.1% | 844 | 844 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 130 | 83 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 150 | 76 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 189 | 188 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 194 | 194 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | 12 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 133 | 132 | $1K |
1 more codes
| D0350 | <1% | 25 | $156.00 |
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 officialKU, TRACY (PRESIDENT)