MARIELA PADILLA (DDS) – Orofacial Pain Dentistry, NPI 1124583323
Orofacial Pain Dentistry
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
240 DENTIST in CA
Provider Addresses for MARIELA PADILLA (DDS)
8700 PERSHING DR UNIT 4321
PLAYA DEL REY, CA 902938017
Phone: (310) 307-6863
Type: Mailing
925 W 34TH STREET HERMAN OSTROW SCHOOL OF DENTISTRY
LOS ANGELES, CA 900890001
Phone: (213) 740-2696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200406001598 | I | Dentist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 33 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 90293)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | CA | |
| D E N T I S T | CA |
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