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Ronald Toshiaki Matsuura, DDS

Dentist · Sunnyvale

NPI 1205229473

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • 1 Medical Board action on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Matsuura’s office at (408) 726-5216 to ask if they take your plan before you enroll.

California Medical Board record

Licence C28039 · Cancelled

Licence status: Cancelled · since 1966 · Harvard Medical School.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
2007-02-02Board disciplineDisciplineSurrender of license. · 05 2005167509

Medicaid work

$149,218 in 2024

Medicaid paid $149,218 for 3,141 billed services this clinician did in 2024, up to 314 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service563$50,580
Service1,348$37,709
Service220$23,074
Service179$13,280
Service200$13,200
Service560$8,400
Service38$1,330
Service14$980
Service19$665
Medicaid work by year
20243,1419314$149,218
20235,8217304$278,559
20221,6547200$79,754
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service1,055$92,904
Service2,516$70,287
Service415$43,500
Service392$32,369
Service350$22,632
Service1,055$15,558
Service38$1,310

2022

Largest Medicaid services in 2022
Service343$30,602
Service698$19,477
Service98$10,275
Service92$9,005
Service343$5,105
Service67$4,380
Service13$910

Professional record

NPI
1205229473
Licence
CA 28039California C28039: Cancelled
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
990 W Fremont Ave Ste O, Sunnyvale, CA, 94087
NPI first listed
2015-03-12
NPI last updated
2020-02-12
NPI record certified
2020-02-12

This is when the NPI record was last certified, not a medical board exam.