SAMI A. ALI, DDS., INC
NPI: 1396498564
· RANCHO CUCAMONGA, CA 91730
· Dental Clinic/Center
· NPI assigned 01/28/2022
$528K
Total Medicaid Paid
Provider Details
| Authorized Official | ALI, SAMI (PRESIDENT/OWNER) |
| NPI Enumeration Date | 01/28/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
87 |
$4K |
| 2023 |
4,080 |
$196K |
| 2024 |
6,522 |
$327K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
459 |
431 |
$212K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,599 |
2,599 |
$171K |
| D0330 |
Panoramic radiographic image |
2,620 |
2,619 |
$77K |
| D3348 |
|
80 |
76 |
$37K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,692 |
2,362 |
$19K |
| D9430 |
|
227 |
220 |
$7K |
| D3320 |
|
12 |
12 |
$4K |