Dental
Edalat DDS INC.
Edalat DDS INC. was paid $1.84M by Medicaid between Feb 2020 and Dec 2024, across 11 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 46% of everything it billed.
33Billing provider infoEDALAT DDS INC.
SAN CLEMENTE, CA 92672
SAN CLEMENTE, CA 92672
33aNPI1013577071assigned 06/20/2019
33bProvider typeEndodontist
28Total paid$1.84M
24GClaims20,141
24DCodes billed11
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Endodontist providers in California
Rank by total paid#10 of 68
Median peer was paid$116K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 1,355 | $117K | |
| 2021 | 3,523 | $317K | |
| 2022 | 4,343 | $392K | |
| 2023 | 5,345 | $510K | |
| 2024incomplete | 5,575 | $509K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 46% | 1,854 | 1,667 | $856K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 4,063 | 4,055 | $268K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 4,052 | 4,045 | $193K |
| D3348 | 8.9% | 355 | 327 | $164K | |
| D9430 | 7.4% | 4,293 | 3,929 | $137K | |
| D3320 | 6.4% | 324 | 286 | $118K | |
| D0330 | Panoramic radiographic image | 4.1% | 2,587 | 2,572 | $75K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,231 | 1,153 | $14K |
| D3310 | <1% | 36 | 25 | $11K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,309 | 1,149 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 37 | 37 | $2K |
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 officialEDALAT, HOSSEIN (ENDODONTIST-OWNER)