Clinic
Leticia R. Tolentino, DMD, INC.
Leticia R. Tolentino, DMD, INC. was paid $102K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.
33Billing provider infoLETICIA R. TOLENTINO, DMD, INC.
DELANO, CA 93215
DELANO, CA 93215
33aNPI1932384658assigned 12/31/2007
33bProvider typeDental Clinic/Center
28Total paid$102K
24GClaims2,290
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#681 of 1,135
Median peer was paid$200K
This provider vs. median0.5×
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 | 808 | $22K | |
| 2019 | 386 | $19K | |
| 2020 | 109 | $5K | |
| 2021 | 164 | $10K | |
| 2022 | 376 | $18K | |
| 2023 | 324 | $18K | |
| 2024incomplete | 123 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 52% | 662 | 659 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 380 | 377 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 276 | 274 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 108 | 107 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 750 | 164 | $4K |
| D4341 | 2.6% | 38 | 12 | $3K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 64 | 64 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $360.00 |
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 officialTOLENTINO, MERYL BABETTE (OFFICE MANAGER)
Parent organizationLETICIA R. TOLENTINO, DMD, INC.