Dental
Saman Edalat DDS INC.
Saman Edalat DDS INC. was paid $301K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoSAMAN EDALAT DDS INC.
WHITTIER, CA 90605
WHITTIER, CA 90605
33aNPI1063752079assigned 02/28/2013
33bProvider typeDentist
28Total paid$301K
24GClaims17,876
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#977 of 2,314
Median peer was paid$185K
This provider vs. median1.6×
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 | 4,256 | $55K | |
| 2019 | 4,552 | $77K | |
| 2020 | 3,489 | $60K | |
| 2021 | 2,252 | $43K | |
| 2022 | 1,701 | $30K | |
| 2023 | 967 | $20K | |
| 2024incomplete | 659 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,467 | 1,451 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 980 | 979 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 9,916 | 2,406 | $40K |
| D1110 | Prophylaxis - adult | 8.6% | 341 | 341 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 748 | 744 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 1,490 | 1,484 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 1,630 | 1,604 | $19K |
| D0330 | Panoramic radiographic image | 4.0% | 436 | 434 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 222 | 222 | $11K |
| D9430 | 3.3% | 324 | 291 | $10K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 29 | 16 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 113 | 113 | $2K |
7 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 23 | $1K |
| D1351 | Sealant - per tooth | <1% | 65 | $1K |
| D4910 | <1% | 15 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 18 | $271.50 |
| D1330 | 0% | 13 | $0.00 | |
| D1999 | 0% | 26 | $0.00 |
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 officialEDALAT, SAMAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Edalat Dental Group, Apc | Northridge, CA | $304K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.