Clinic
Michael Su Dental Corp
Michael Su Dental Corp was paid $174K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoMICHAEL SU DENTAL CORP
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
33aNPI1205243854assigned 07/15/2014
33bProvider typeDental Clinic/Center
28Total paid$174K
24GClaims5,566
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#589 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 | |
|---|---|---|---|
| 2018 | 1,359 | $36K | |
| 2019 | 841 | $28K | |
| 2020 | 679 | $22K | |
| 2021 | 973 | $36K | |
| 2022 | 727 | $25K | |
| 2023 | 588 | $16K | |
| 2024incomplete | 399 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 828 | 822 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 520 | 518 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 378 | 378 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,311 | 1,304 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 279 | 279 | $12K |
| D0350 | 4.3% | 847 | 324 | $7K | |
| D0274 | Bitewings - four radiographic images | 3.6% | 292 | 291 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 81 | 41 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 983 | 505 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 47 | 13 | $3K |
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 officialSU, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ophthalmic Consultants of New Jersey, P.C. | East Brunswick, NJ | $290K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.