Dental
Daniel Ta DDS INC
Daniel Ta DDS INC was paid $241K by Medicaid between Apr 2024 and Dec 2024, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 18% of everything it billed.
33Billing provider infoDANIEL TA DDS INC
MARTINEZ, CA 94553
MARTINEZ, CA 94553
33aNPI1215799051assigned 01/26/2024
33bProvider typeDentist
28Total paid$241K
24GClaims5,445
24DCodes billed18
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,056 of 2,314
Median peer was paid$185K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2024incomplete | 5,445 | $241K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 358 | 224 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 576 | 576 | $38K |
| D1110 | Prophylaxis - adult | 16% | 430 | 430 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 403 | 183 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 9.1% | 459 | 459 | $22K |
| D0350 | 5.0% | 1,316 | 420 | $12K | |
| D0330 | Panoramic radiographic image | 4.2% | 345 | 344 | $10K |
| D9430 | 4.0% | 305 | 287 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 540 | 540 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 137 | 85 | $7K |
| D2740 | Crown - porcelain/ceramic | 2.6% | 13 | 12 | $6K |
| D1351 | Sealant - per tooth | 1.9% | 120 | 26 | $5K |
6 more codes
| D1120 | Dental cleaning, child | 1.8% | 83 | $4K |
| D4341 | 1.7% | 60 | $4K | |
| D2330 | 1.3% | 40 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 38 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 176 | $708.75 |
| D0272 | Bitewings - two radiographic images | <1% | 46 | $540.00 |
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 officialTA, DANIEL (PRESIDENT)