Clinic
Sami A. Ali, DDS., INC
Sami A. Ali, DDS., INC was paid $528K by Medicaid between Dec 2022 and Dec 2024, across 7 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 40% of everything it billed.
33Billing provider infoSAMI A. ALI, DDS., INC
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1396498564assigned 01/28/2022
33bProvider typeDental Clinic/Center
28Total paid$528K
24GClaims10,689
24DCodes billed7
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#372 of 1,135
Median peer was paid$200K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2022 | 87 | $4K | |
| 2023 | 4,080 | $196K | |
| 2024incomplete | 6,522 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 40% | 459 | 431 | $212K |
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 2,599 | 2,599 | $171K |
| D0330 | Panoramic radiographic image | 15% | 2,620 | 2,619 | $77K |
| D3348 | 7.0% | 80 | 76 | $37K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 4,692 | 2,362 | $19K |
| D9430 | 1.4% | 227 | 220 | $7K | |
| D3320 | <1% | 12 | 12 | $4K |
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 officialALI, SAMI (PRESIDENT/OWNER)