Dental
Tin Dental Specialty Group a Professional Dental Corp
Tin Dental Specialty Group a Professional Dental Corp was paid $5.21M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is D4341, — 13% of everything it billed.
33Billing provider infoTIN DENTAL SPECIALTY GROUP A PROFESSIONAL DENTAL CORP
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
33aNPI1285161323assigned 05/19/2017
33bProvider typeDentist
28Total paid$5.21M
24GClaims147,380
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#91 of 2,314
Median peer was paid$185K
This provider vs. median28×
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 | 6,089 | $159K | |
| 2019 | 14,242 | $515K | |
| 2020 | 16,962 | $595K | |
| 2021 | 28,454 | $856K | |
| 2022 | 28,897 | $1.09M | |
| 2023 | 25,081 | $877K | |
| 2024incomplete | 27,655 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 13% | 9,617 | 2,604 | $671K | |
| D4260 | 13% | 1,334 | 368 | $652K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 7,321 | 7,283 | $476K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 8,376 | 8,338 | $403K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.1% | 3,134 | 1,860 | $371K |
| D4910 | 6.0% | 4,076 | 4,070 | $312K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 3,864 | 2,068 | $256K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 56,437 | 10,923 | $227K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 4,086 | 1,785 | $218K |
| D0330 | Panoramic radiographic image | 3.5% | 6,512 | 6,475 | $185K |
| D0274 | Bitewings - four radiographic images | 3.3% | 8,058 | 8,015 | $172K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 3,344 | 3,328 | $148K |
25 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 1,873 | $125K |
| D9430 | 2.1% | 3,370 | $108K | |
| D1110 | Prophylaxis - adult | 2.0% | 1,155 | $103K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 1,188 | $94K |
| D2330 | 1.8% | 1,246 | $94K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.7% | 192 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 8,678 | $83K |
| D4342 | 1.3% | 1,607 | $67K | |
| D0350 | 1.3% | 6,606 | $67K | |
| D2740 | Crown - porcelain/ceramic | 1.3% | 140 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 750 | $43K |
| D9110 | <1% | 693 | $43K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,657 | $32K |
| D4261 | <1% | 53 | $18K | |
| D2331 | <1% | 201 | $16K | |
| D2954 | <1% | 121 | $13K | |
| D3320 | <1% | 30 | $11K | |
| D2140 | <1% | 203 | $11K | |
| D3310 | <1% | 35 | $11K | |
| D2394 | <1% | 73 | $6K | |
| D2160 | <1% | 66 | $5K | |
| D2335 | <1% | 41 | $5K | |
| D2332 | <1% | 47 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 129 | $2K |
| D9440 | <1% | 67 | $833.00 |
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 officialTIN, JUSTIN (CEO)
| Provider | Location | Paid |
|---|---|---|
| San Bruno Ave Dental Clinic Corp | San Francisco, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.