Rubin Nichols DDS INC

Rubin Nichols DDS INC was paid $28K by Medicaid between Jan 2018 and Apr 2023, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.

33Billing provider infoRUBIN NICHOLS DDS INC
WEST COVINA, CA 91792

33aNPI1962873737assigned 10/19/2015

33bProvider typeDentist

28Total paid$28K

24GClaims2,070

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,682 of 2,314

Median peer was paid$185K

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	429	$5K
2019	385	$8K
2020	152	$1K
2021	493	$5K
2022	493	$7K
2023	118	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	27%	136	131	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	119	119	$5K
D0230	Intraoral - periapical each additional radiographic image	19%	1,335	391	$5K
D0210	Intraoral - complete series of radiographic images	13%	84	82	$4K
D1208	Topical application of fluoride, excluding varnish	12%	293	293	$3K
D0274	Bitewings - four radiographic images	5.4%	76	76	$2K
D1110	Prophylaxis - adult	4.5%	15	15	$1K
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$144.00

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 officialNICHOLS, RUBIN (OWNER)