Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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D4355

Billing code D4355

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $42.15M on code D4355 from 2018 through 2024, to 1,382 providers — the #1,085 code in the file by dollars. 38% of it was billed in California.

28Total paid$42.15M
24GClaims559,749
Paid per claim line$75.31
33Providers billing it1,382
Box 32 · Location

Where D4355 is billed

  1. CACalifornia
    $16M
  2. MIMichigan
    $9.4M
  3. NCNorth Carolina
    $7.0M
  4. WIWisconsin
    $1.6M
  5. OROregon
    $1.1M
  6. NJNew Jersey
    $893K
  7. NVNevada
    $542K
  8. MDMaryland
    $510K
  9. MNMinnesota
    $507K
  10. VAVirginia
    $505K
  11. TNTennessee
    $472K
  12. UTUtah
    $449K

The largest of 49 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing D4355

#ProviderLocationClaimsPaid on D4355
1 My Community Dental Centers INC Petoskey, MI 35,482 $2.75M
2 Fulbright Dental Group, PC Los Angeles, CA 25,024 $2.52M
3 Lovinger, Kim, & Khzouz Dental Corporation Fullerton, CA 22,215 $2.27M
4 Kirkland DDS INC Hayward, CA 18,403 $1.88M
5 Mashreghi DMD Dental Corporation North Hollywood, CA 11,439 $1.08M
6 Mitra Mashreghi DMD Dental Corporation Los Angeles, CA 9,057 $917K
7 Mulnomah County Portland, OR 9,246 $730K
8 Northwest Michigan Community Health Agency Charlevoix, MI 6,548 $508K
9 Detroit Dental Care, PC Detroit, MI 7,182 $497K
10 Cortez, Lida Chula Vista, CA 4,658 $473K
11 Ouzounian, Amalia Carmichael, CA 4,447 $450K
12 Caine, Tracey Woodland Hills, CA 4,421 $445K
13 Leizerovitz, Kira West Hollywood, CA 4,102 $413K
14 Aghel, Soheila West Hollywood, CA 4,065 $410K
15 Corey, Benjamin Long Beach, CA 4,044 $407K
16 Hammock, DMD & Lotakis, DDS IV, PLLC Monroe, NC 5,316 $361K
17 Vincent, Karen Los Gatos, CA 3,360 $343K
18 Toni B. Georgiades, DDS, Apc Encinitas, CA 3,050 $315K
19 Diversified Mobile Smiles Alameda, CA 3,110 $313K
20 Abhishek Joshi Dds,inc. Eastvale, CA 3,369 $311K
21 Justice, Perry Statesville, NC 4,682 $306K
22 Kogan, Zoya Hayward, CA 2,949 $303K
23 Marogy Hy PPLC Sterling Heights, MI 4,039 $290K
24 Mariechris Ancheta Sapinoso DDS PC San Diego, CA 2,887 $283K
25 Family Health Center, INC. Kalamazoo, MI 2,364 $280K
26 Alon, Danna Rica San Jose, CA 2,580 $252K
27 Jones, Duanne St Thomas, VI 1,337 $250K
28 Precision Dentures, LLC Park City, UT 1,924 $235K
29 Hammock, DMD & Lotakis, DDS III, PLLC Gastonia, NC 3,381 $225K
30 Hammock, DMD & Lotakis, DDS I, PLLC Charlotte, NC 3,396 $224K
31 The Wellness Plan Medical Centers Detroit, MI 1,431 $217K
32 Sterling Heights Dental Care P.C. Sterling Heights, MI 2,902 $212K
33 Wolverine Cosmetic Dental L.L.C Southfield, MI 2,847 $212K
34 Charles R Disdier DDS PA Wilson, NC 3,386 $208K
35 Debora A. Bolton, DDS, PA Durham, NC 3,112 $202K
36 Henry W. Davis JR., DDS III PLLC Lillington, NC 2,893 $202K
37 Conrad, Carolyn Canyon Country, CA 1,900 $188K
38 Calapis, Ysabel Ladera Ranch, CA 1,867 $184K
39 Jennifer Setina, Rdhap Dental Hygiene Practice, INC. Folsom, CA 1,728 $181K
40 Smiles Today Dental Group, LLC Las Vegas, NV 3,027 $173K
41 Bright Dental Madison LLC Madison, WI 2,024 $167K
42 Brauer, Erik Laguna Woods, CA 1,539 $161K
43 Department of Intellectual and Developmental Disabilities, State of TN Nashville, TN 1,692 $156K
44 Rodriguez, Yana San Jose, CA 1,503 $155K
45 Davis, Dan Lumberton, NC 2,415 $153K
46 Smiles to You, INC Temecula, CA 1,475 $152K
47 Sean Yim DMD PLLC Pahrump, NV 2,151 $152K
48 Confederated Tribes of the Goshute Reservation Salt Lake City, UT 338 $149K
49 Kelley, Thomas Brookfield, WI 2,517 $148K
50 Grace Health, INC. Battle Creek, MI 1,088 $146K
51 Kaye, Maureen Atascadero, CA 1,441 $144K
52 Dacorona DDS PLLC Detroit, MI 1,365 $142K
53 Mahooty, Mahasty Rancho Santa Margarita, CA 1,419 $142K
54 Paola R Uceda DDS PA Charlotte, NC 2,208 $142K
55 Meroueh, Alia Dearborn, MI 2,236 $138K
56 Public Health Authority of Cabarrus County Kannapolis, NC 1,719 $132K
57 Jeffery Bartoshesky DMD LLC Laurel, DE 860 $131K
58 Clackamas County Oregon City, OR 1,825 $129K
59 Hjbrown&associates, D.D.S., PA Greenville, NC 2,001 $125K
60 Robert B. Miller, IV, DDS, PLLC New Bern, NC 1,804 $122K
61 Brenton L Young DDS and Pauline E Cahill DDS PA Shelby, NC 1,832 $122K
62 Mazda Berenjian DDS PA Henderson, NC 1,956 $121K
63 Familia Dental Mkemitchell LLC Milwaukee, WI 2,487 $121K
64 Hygienist Recommended INC Berkley, MI 2,692 $120K
65 Kidz & Family Dental Center Wheaton, MD 1,194 $119K
66 Great Expressions Dental Centers P C Bloomfield Hills, MI 1,588 $118K
67 Mody, Arpit Warren, MI 2,048 $118K
68 Long-Stokes, Sharon Greensboro, NC 1,858 $115K
69 Alpha Dental Center PLLC Woodhaven, MI 2,020 $115K
70 Christy, Scott Indianapolis, IN 1,362 $113K
71 Intercare Community Health Network Benton Harbor, MI 769 $113K
72 G Abrams & R Cohen Xvii PC Mint Hill, NC 1,819 $112K
73 Oakland Integrated Healthcare Network Pontiac, MI 760 $110K
74 Happy Teeth Dental PLLC. Dearborn, MI 2,004 $106K
75 Simpson, Mariaelena Auburn, CA 1,031 $104K
76 James W. Scheller, DDS, PA Hickory, NC 1,677 $104K
77 Liann W Drechsel DMD PC Roseburg, OR 630 $102K
78 Familia Dental Janesville LLC Janesville, WI 1,549 $102K
79 Covenant Community Care, INC. Detroit, MI 866 $102K
80 Gurjot Sidhu DDS Dental Corporation Riverbank, CA 1,008 $100K
81 On Site Dental, PC Camp Verde, AZ 1,345 $99K
82 O'brien and West DMD PLLC Raleigh, NC 1,570 $97K
83 Missoula General Dentistry, P.C. Missoula, MT 1,210 $97K
84 Bahjat, Nadia Sterling Heights, MI 2,005 $97K
85 Leslie Giovannoni, Rdhap, a Professional Corporation Loomis, CA 938 $95K
86 Benjamin Koren, DDS Vi PA Leland, NC 1,445 $94K
87 Western Wayne Family Health Centers Lincoln Park, MI 758 $94K
88 Modern American Dental Clinic P. C. Dearborn, MI 1,304 $93K
89 Marcel G. Kasha PLLC Center Line, MI 1,243 $93K
90 S. W. Webber D.D.S., P.A. Charlotte, NC 1,510 $93K
91 H&S DDS PC Hamtramck, MI 1,560 $92K
92 Eric Seders, DDS, PLLC Morehead City, NC 1,356 $89K
93 Familia Dental Green Bay East LLC Green Bay, WI 1,278 $87K
94 Edward V Hickman DDS PA Lumberton, NC 1,249 $85K
95 Happy Tooth Warren, MI 1,095 $83K
96 Hingu, Monal Fullerton, CA 875 $82K
97 Hammock, DMD & Lotakis, DDS V, PLLC Statesville, NC 1,191 $82K
98 Delivering Smiles INC. Fresno, CA 781 $82K
99 Williamson, Alfonza Winston Salem, NC 1,187 $79K
100 Goodrich, Matthew Southern Pines, NC 1,324 $79K