Dental
Sagisi DMD INC
Sagisi DMD INC was paid $720K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoSAGISI DMD INC
PALMDALE, CA 93551
PALMDALE, CA 93551
33aNPI1013396423assigned 05/19/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$720K
24GClaims29,939
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#708 of 2,668
Median peer was paid$173K
This provider vs. median4.2×
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 | 1,704 | $61K | |
| 2019 | 3,302 | $97K | |
| 2020 | 3,498 | $79K | |
| 2021 | 4,313 | $98K | |
| 2022 | 4,849 | $125K | |
| 2023 | 5,943 | $124K | |
| 2024incomplete | 6,330 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 1,384 | 1,379 | $120K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,627 | 1,617 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,528 | 1,520 | $95K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 1,563 | 1,554 | $73K |
| D0350 | 8.8% | 7,886 | 1,898 | $63K | |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 1,416 | 1,412 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 813 | 340 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 8,101 | 1,745 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 2,026 | 2,012 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 393 | 234 | $26K |
| D9430 | 2.2% | 492 | 456 | $16K | |
| D1206 | Topical application of fluoride varnish | 1.8% | 960 | 959 | $13K |
11 more codes
| D0274 | Bitewings - four radiographic images | 1.8% | 621 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 176 | $12K |
| D1320 | 1.2% | 603 | $9K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 53 | $6K |
| D4910 | <1% | 74 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 135 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 26 | $1K |
| D9993 | <1% | 12 | $780.00 | |
| D1310 | <1% | 12 | $552.00 | |
| D0330 | Panoramic radiographic image | <1% | 13 | $390.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | $300.00 |
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.
From NPPES
Who's on the registration
Authorized officialSAGISI, RANDALL (PRESIDENT)