Dental
Matta Botrous DDS INC
Matta Botrous DDS INC was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 15% of everything it billed.
33Billing provider infoMATTA BOTROUS DDS INC
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1962940874assigned 02/10/2017
33bProvider typeDentist
28Total paid$1.84M
24GClaims60,808
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#307 of 2,314
Median peer was paid$185K
This provider vs. median9.9×
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 | 73 | $2K | |
| 2020 | 1,626 | $50K | |
| 2021 | 7,030 | $234K | |
| 2022 | 12,818 | $349K | |
| 2023 | 18,346 | $595K | |
| 2024incomplete | 20,915 | $614K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 15% | 578 | 471 | $273K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 2,366 | 2,350 | $154K |
| D1110 | Prophylaxis - adult | 8.1% | 1,713 | 1,700 | $150K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 2,173 | 1,284 | $144K |
| D9430 | 7.5% | 4,405 | 3,675 | $139K | |
| D0350 | 7.4% | 15,286 | 4,110 | $136K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 1,657 | 1,643 | $126K |
| D4910 | 5.6% | 1,417 | 1,395 | $103K | |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 1,923 | 1,908 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 1,612 | 1,597 | $73K |
| D4341 | 3.7% | 983 | 272 | $69K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 15,251 | 3,453 | $64K |
21 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,121 | $61K |
| D1206 | Topical application of fluoride varnish | 2.9% | 3,373 | $54K |
| D2954 | 2.9% | 511 | $53K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 423 | $33K |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,597 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 2,436 | $29K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 36 | $17K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 27 | $13K |
| D0250 | <1% | 460 | $10K | |
| D1320 | <1% | 345 | $5K | |
| D0240 | <1% | 472 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 251 | $3K |
| D1310 | <1% | 114 | $2K | |
| D4342 | <1% | 34 | $1K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | $1K |
| D2394 | <1% | 13 | $1K | |
| D9110 | <1% | 12 | $756.00 | |
| D0602 | <1% | 105 | $675.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 46 | $637.50 |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 16 | $92.00 |
| D2999 | 0% | 35 | $0.00 |
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 officialBOTROUS, MATTA (PRESIDENT)