Dental
Ly Dental Corporation
Ly Dental Corporation was paid $83K by Medicaid between Jan 2018 and Nov 2019, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoLY DENTAL CORPORATION
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1316495880assigned 09/14/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$83K
24GClaims4,274
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,626 of 2,668
Median peer was paid$173K
This provider vs. median0.5×
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 | 2,386 | $38K | |
| 2019 | 1,888 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 375 | 373 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 2,443 | 399 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 241 | 241 | $10K |
| D4910 | 11% | 121 | 121 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 142 | 142 | $7K |
| D4341 | 7.7% | 91 | 24 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 500 | 499 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 37 | 37 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 29 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 1.6% | 120 | 119 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 112 | 110 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 19 | 19 | $570.00 |
1 more codes
| D0350 | <1% | 44 | $441.60 |
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 officialLY, QUY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ly Dental Corporation | Westminster, CA | $229K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.