Dental
Favela Dental Corp.
Favela Dental Corp. was paid $7K by Medicaid between Feb 2023 and May 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 42% of everything it billed.
33Billing provider infoFAVELA DENTAL CORP.
ALISO VIEJO, CA 92656
ALISO VIEJO, CA 92656
33aNPI1992028708assigned 03/08/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims100
24DCodes billed3
24AFirst – last monthFeb 2023 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,267 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 12 | $792.00 | |
| 2024incomplete | 88 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 42% | 42 | 42 | $3K |
| D1110 | Prophylaxis - adult | 38% | 29 | 29 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 29 | 29 | $1K |
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 officialVO, LISA (OFFICE MANAGER)