Clinic
Village Dental Care
Village Dental Care was paid $1.28M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoVILLAGE DENTAL CARE
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
33aNPI1972922250assigned 04/15/2014
33bProvider typeDental Clinic/Center
28Total paid$1.28M
24GClaims46,367
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#205 of 1,135
Median peer was paid$200K
This provider vs. median6.4×
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 | 4,140 | $84K | |
| 2019 | 7,924 | $236K | |
| 2020 | 4,577 | $114K | |
| 2021 | 5,886 | $128K | |
| 2022 | 7,678 | $207K | |
| 2023 | 6,758 | $188K | |
| 2024incomplete | 9,404 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,158 | 3,143 | $193K |
| D1110 | Prophylaxis - adult | 11% | 1,689 | 1,681 | $146K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 1,868 | 1,054 | $125K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 2,504 | 2,492 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 1,539 | 1,534 | $95K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 1,523 | 679 | $83K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 18,610 | 3,413 | $76K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 1,550 | 1,546 | $72K |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.0% | 136 | 100 | $64K |
| D0274 | Bitewings - four radiographic images | 3.9% | 2,377 | 2,364 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 4,159 | 4,143 | $50K |
| D4910 | 3.7% | 624 | 618 | $48K |
20 more codes
| D9430 | 2.8% | 1,114 | $35K | |
| D4341 | 2.7% | 493 | $35K | |
| D0350 | 2.3% | 2,979 | $29K | |
| D7240 | Removal of impacted tooth - completely bony | 1.3% | 75 | $17K |
| D8670 | Periodic orthodontic treatment visit | <1% | 38 | $11K |
| D1351 | Sealant - per tooth | <1% | 458 | $11K |
| D0330 | Panoramic radiographic image | <1% | 288 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 472 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 72 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 39 | $5K |
| D7230 | <1% | 23 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 326 | $4K |
| D2330 | <1% | 48 | $4K | |
| D2954 | <1% | 31 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 52 | $2K |
| D4342 | <1% | 38 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 25 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 21 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 24 | $288.00 |
| D1999 | 0% | 14 | $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 officialMEDINA, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Nova Psychiatry INC | Orlando, FL | $364K |
| Espino & Medina DDS INC. | Riverside, CA | $291K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.