Clinic
Madera Kids Dental World
Madera Kids Dental World was paid $27.09M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoMADERA KIDS DENTAL WORLD
MADERA, CA 93637
MADERA, CA 93637
33aNPI1235406331assigned 11/18/2011
33bProvider typeDental Clinic/Center
28Total paid$27.09M
24GClaims645,306
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#7 of 1,135
Median peer was paid$200K
This provider vs. median135×
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 | 94,270 | $2.98M | |
| 2019 | 101,455 | $3.28M | |
| 2020 | 81,043 | $3.38M | |
| 2021 | 75,368 | $3.44M | |
| 2022 | 89,698 | $4.42M | |
| 2023 | 99,594 | $4.79M | |
| 2024incomplete | 103,878 | $4.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 62,269 | 12,933 | $7.20M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 11% | 30,475 | 9,466 | $2.94M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 50,436 | 50,287 | $2.83M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 68,847 | 68,618 | $2.67M |
| D1310 | 4.1% | 25,018 | 24,931 | $1.12M | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 16,544 | 6,299 | $1.08M |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 68,898 | 68,669 | $1.04M |
| D1351 | Sealant - per tooth | 3.5% | 31,614 | 11,395 | $935K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 14,611 | 14,554 | $931K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 16,511 | 8,318 | $912K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 22,906 | 22,668 | $892K |
| D2140 | 2.5% | 12,620 | 6,422 | $673K |
22 more codes
| D9993 | 2.4% | 12,118 | $653K | |
| D0272 | Bitewings - two radiographic images | 2.0% | 48,282 | $551K |
| D1510 | 1.7% | 3,012 | $453K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 92,365 | $444K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 6,480 | $401K |
| D0603 | <1% | 17,346 | $250K | |
| D0330 | Panoramic radiographic image | <1% | 6,007 | $171K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,856 | $137K |
| D2330 | <1% | 1,758 | $130K | |
| D0601 | <1% | 6,482 | $96K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,079 | $91K |
| D0350 | <1% | 9,811 | $88K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,568 | $87K |
| D0274 | Bitewings - four radiographic images | <1% | 4,190 | $84K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,206 | $71K |
| D9430 | <1% | 1,863 | $57K | |
| D2160 | <1% | 722 | $56K | |
| D2332 | <1% | 209 | $16K | |
| D0602 | <1% | 997 | $15K | |
| D2931 | <1% | 122 | $15K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $1K |
| D2934 | 0% | 64 | $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 officialSARGSYAN, NADEZHDA (PRESIDENT)