Dental
Dela Fuente - Lewis, Riza
Dela Fuente - Lewis, Riza was paid $19K by Medicaid between Feb 2018 and Feb 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoDELA FUENTE - LEWIS, RIZA
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1992922868assigned 04/20/2007
33bProvider typeDentist
28Total paid$19K
24GClaims451
24DCodes billed5
24AFirst – last monthFeb 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,777 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | 283 | $11K | |
| 2019 | 153 | $7K | |
| 2020 | 15 | $675.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 199 | 198 | $8K |
| D1110 | Prophylaxis - adult | 23% | 70 | 66 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 129 | 120 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 28 | 28 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 25 | 12 | $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.