Providers

BRUCE B BAKER, dmd

NPI 1356499644, individual, Poway, CA, Dentist, Pediatric Dentistry

1
Evidence tier
documented action, then payment
  • Listed on the CA Medicaid exclusion list since July 13, 2020.
  • Medicaid still paid claims in 3 later months, $106,617 in total.
score 95 of 100, rank 144, $107K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
CA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 13, 2020still open3Aug 2020Oct 2020$107K$360K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBRUCE B BAKER, dmd
TypeIndividual
StatusActive
NPI issuedJanuary 5, 2007, last updated July 8, 2007
Practice location13422 POMERADO RD, STE #201, Poway, CA 92064-3548, 858-679-6660
Specialties
Dentist, Pediatric Dentistry (1223P0221X, primary, license 32267 CA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
D1120Medicaid service code$156K14%$30$34 (top 5% from $51)33rd percentile
D0120Medicaid service code$129K12%$38$26 (top 5% from $63)85th percentile
D2150Medicaid service code$125K11%$140$111 (top 5% from $177)80th percentile
D0150Medicaid service code$95K9%$54$35 (top 5% from $66)78th percentile
D2930Medicaid service code$82K7%$179$289 (top 5% from $758)21st percentile
D1208Medicaid service code$63K6%$12$15 (top 5% from $28)22nd percentile
D9230Medicaid service code$55K5%$40$28 (top 5% from $53)78th percentile
D0230Medicaid service code$55K5%$11$12 (top 5% from $28)44th percentile

In this area

141 providers in San Diego County, CA carry an indicator in the public record, with $221.7M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 43. 11 are tier 1: documented action, then payment.

tierproviderat stakewhy
1BRENTON WYNN
National City, CA, ranked 19
$52K
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since May 23, 2022.
  • Medicaid still paid claims in 6 later months, $51,770 in total.
  • and 1 more
1MICHAEL I KELLER M.D. INC
San Diego, CA, ranked 124
$141K
  • Listed on the CA Medicaid exclusion list since December 10, 2020.
  • Medicaid still paid claims in 18 later months, $141,240 in total.
1BRENTON D. WYNN, MD INC
National City, CA, ranked 135
$125K
  • Listed on the CA Medicaid exclusion list since May 23, 2022.
  • Medicaid still paid claims in 27 later months, $125,367 in total.
1KYUNG BOEN
San Marcos, CA, ranked 191
$50K
  • Listed on the WA Medicaid exclusion list since April 7, 2017.
  • Medicaid still paid claims in 16 later months, $50,384 in total.
1ROOZBEH BADII
San Diego, CA, ranked 199
$45K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018.
  • Medicaid still paid claims in 15 later months, $44,839 in total.
1CHIVANO CHHIENG
San Diego, CA, ranked 231
$24K
  • Listed on the CA Medicaid exclusion list since July 14, 2020.
  • Medicaid still paid claims in 12 later months, $23,669 in total.
1JOHN QIAN
San Diego, CA, ranked 232
$23K
  • Listed on the CA Medicaid exclusion list since February 11, 2022.
  • Medicaid still paid claims in 5 later months, $23,392 in total.
  • and 3 more
1CHRISTOPHER HOLT
San Diego, CA, ranked 350
$3K
  • Listed on the CA Medicaid exclusion list since June 29, 2021.
  • Medicaid still paid claims in 3 later months, $2,891 in total.
All 141 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

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