Siderman, Jerry

Siderman, Jerry was paid $4K by Medicaid between Apr 2019 and Jul 2023, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.

33Billing provider infoSIDERMAN, JERRY
HUNTINGTON PARK, CA 90255

33aNPI1386716975assigned 11/15/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims200

24DCodes billed6

24AFirst – last monthApr 2019 – Jul 2023

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,341 of 2,668

Median peer was paid$173K

This provider vs. median0.0×

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	17	$134.50
2020	95	$3K
2022	76	$850.00
2023	12	$428.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	45%	35	34	$2K
D9430		21%	76	65	$850.00
D0210	Intraoral - complete series of radiographic images	20%	27	27	$836.00
D9999	Unspecified adjunctive procedure, by report	10%	31	21	$432.00
D1110	Prophylaxis - adult	3.3%	17	13	$134.50
D0220	Intraoral - periapical first radiographic image	<1%	14	12	$24.00

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.