Clinic
Setareh Dental Group DDS, INC.
Setareh Dental Group DDS, INC. was paid $1.81M by Medicaid between Jan 2019 and Dec 2024, across 35 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 11% of everything it billed.
33Billing provider infoSETAREH DENTAL GROUP DDS, INC.
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1356823017assigned 08/29/2018
33bProvider typeDental Clinic/Center
28Total paid$1.81M
24GClaims53,971
24DCodes billed35
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#147 of 1,135
Median peer was paid$200K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2019 | 1,725 | $61K | |
| 2020 | 3,584 | $84K | |
| 2021 | 8,742 | $231K | |
| 2022 | 12,206 | $392K | |
| 2023 | 12,676 | $417K | |
| 2024incomplete | 15,038 | $622K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,158 | 3,154 | $207K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 2,563 | 2,548 | $175K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 2,478 | 1,343 | $164K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 2,753 | 1,345 | $148K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 3,287 | 3,269 | $146K |
| D1110 | Prophylaxis - adult | 7.8% | 1,619 | 1,614 | $142K |
| D2740 | Crown - porcelain/ceramic | 7.4% | 283 | 212 | $133K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 2,569 | 2,562 | $122K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 16,822 | 3,077 | $71K |
| D1206 | Topical application of fluoride varnish | 3.6% | 3,685 | 3,667 | $65K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.4% | 135 | 122 | $62K |
| D0350 | 2.6% | 4,688 | 2,516 | $46K |
23 more codes
| D1310 | 1.9% | 747 | $34K | |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,509 | $32K |
| D9430 | 1.8% | 990 | $32K | |
| D0330 | Panoramic radiographic image | 1.7% | 1,034 | $31K |
| D4341 | 1.6% | 429 | $30K | |
| D1351 | Sealant - per tooth | 1.4% | 647 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 412 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 160 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,349 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 117 | $12K |
| D9993 | <1% | 171 | $11K | |
| D0603 | <1% | 722 | $11K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 88 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 247 | $10K |
| D0272 | Bitewings - two radiographic images | <1% | 648 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 98 | $7K |
| D4910 | <1% | 66 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 341 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 67 | $2K |
| D2335 | <1% | 19 | $2K | |
| D2331 | <1% | 17 | $1K | |
| D2330 | <1% | 17 | $1K | |
| D1354 | <1% | 36 | $1K |
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 officialSETAREH, SEPEHR (PRESIDENT)