Clinic
Atalla Dental Corp.
Atalla Dental Corp. was paid $173K by Medicaid between Aug 2020 and Nov 2024, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoATALLA DENTAL CORP.
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1043844301assigned 02/26/2020
33bProvider typeDental Clinic/Center
28Total paid$173K
24GClaims3,974
24DCodes billed16
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#592 of 1,135
Median peer was paid$200K
This provider vs. median0.9×
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 | 195 | $10K | |
| 2021 | 160 | $8K | |
| 2022 | 1,148 | $55K | |
| 2023 | 1,570 | $67K | |
| 2024incomplete | 901 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 722 | 719 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 417 | 204 | $28K |
| D1110 | Prophylaxis - adult | 15% | 313 | 311 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 520 | 519 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 269 | 116 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 99 | 99 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 350 | 345 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 116 | 110 | $5K |
| D9430 | 3.0% | 166 | 163 | $5K | |
| D1206 | Topical application of fluoride varnish | 2.4% | 198 | 192 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 61 | 24 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 601 | 361 | $2K |
4 more codes
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 officialATALLA, HANNA (PRESIDENT)