Dental
Noushin Adhami Dental Corporation
Noushin Adhami Dental Corporation was paid $848K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoNOUSHIN ADHAMI DENTAL CORPORATION
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1205000940assigned 04/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$848K
24GClaims29,358
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#638 of 2,668
Median peer was paid$173K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2018 | 3,673 | $77K | |
| 2019 | 4,665 | $126K | |
| 2020 | 3,569 | $99K | |
| 2021 | 4,466 | $115K | |
| 2022 | 3,671 | $108K | |
| 2023 | 4,732 | $155K | |
| 2024incomplete | 4,582 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,414 | 2,411 | $124K |
| D1110 | Prophylaxis - adult | 14% | 1,436 | 1,430 | $115K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,731 | 1,724 | $106K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 2,252 | 2,243 | $84K |
| D4910 | 7.5% | 850 | 847 | $64K | |
| D1206 | Topical application of fluoride varnish | 6.6% | 3,866 | 3,856 | $56K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 1,077 | 1,075 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 599 | 269 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 9,547 | 3,587 | $36K |
| D0274 | Bitewings - four radiographic images | 4.2% | 1,851 | 1,846 | $35K |
| D2161 | 3.9% | 399 | 181 | $33K | |
| D4341 | 3.0% | 377 | 105 | $26K |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 223 | $17K |
| D2160 | 2.0% | 211 | $17K | |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,270 | $14K |
| D1351 | Sealant - per tooth | 1.5% | 602 | $13K |
| D9430 | <1% | 266 | $8K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 109 | $7K |
| D2394 | <1% | 22 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 122 | $1K |
| D1310 | <1% | 27 | $1K | |
| D9993 | <1% | 14 | $910.00 | |
| D0350 | <1% | 93 | $825.60 |
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 officialADHAMI, NOUSHIN (DDS)