Dental
Javan Dental Corporation
Javan Dental Corporation was paid $975K by Medicaid between Feb 2023 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoJAVAN DENTAL CORPORATION
POMONA, CA 91767
POMONA, CA 91767
33aNPI1366175804assigned 07/01/2022
33bProvider typeDentist
28Total paid$975K
24GClaims28,424
24DCodes billed31
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#507 of 2,314
Median peer was paid$185K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2023 | 6,375 | $221K | |
| 2024incomplete | 22,049 | $754K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 1,432 | 307 | $168K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,210 | 2,208 | $110K |
| D1351 | Sealant - per tooth | 9.6% | 2,515 | 584 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 1,168 | 1,166 | $77K |
| D1310 | 6.1% | 1,341 | 1,340 | $59K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 861 | 861 | $56K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 5.2% | 191 | 76 | $50K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.6% | 456 | 152 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 1,946 | 1,944 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 579 | 280 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 7,978 | 1,915 | $33K |
| D2330 | 2.7% | 340 | 111 | $27K |
19 more codes
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 340 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 573 | $22K |
| D0603 | 1.9% | 1,300 | $19K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 221 | $15K |
| D2140 | 1.4% | 264 | $14K | |
| D9430 | <1% | 296 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 798 | $9K |
| D9222 | <1% | 78 | $9K | |
| D0272 | Bitewings - two radiographic images | <1% | 844 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 293 | $9K |
| D0350 | <1% | 1,159 | $9K | |
| D0274 | Bitewings - four radiographic images | <1% | 369 | $7K |
| D0340 | <1% | 142 | $7K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 197 | $7K |
| D0330 | Panoramic radiographic image | <1% | 212 | $6K |
| D9610 | <1% | 174 | $5K | |
| D2335 | <1% | 32 | $4K | |
| D1320 | <1% | 85 | $865.00 | |
| D9920 | <1% | 30 | $700.00 |
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 officialJAVAN, NIMA (DENTIST/OWNER)