UCLA Venice Clinical

UCLA Venice Clinical was paid $36K by Medicaid between Mar 2018 and Oct 2024, across 3 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 86% of everything it billed.

33Billing provider infoUCLA VENICE CLINICAL
VENICE, CA 90291

33aNPI1932253184assigned 01/23/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$36K

24GClaims585

24DCodes billed3

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,879 of 2,668

Median peer was paid$173K

This provider vs. median0.2×

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	143	$8K
2019	43	$3K
2020	35	$2K
2021	138	$9K
2022	145	$9K
2023	46	$3K
2024incomplete	35	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	86%	470	301	$32K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	9.0%	84	79	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.6%	31	26	$2K

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 officialYAMAMANTO, JOHN (CLENAL DIRECTOR)