Clinic
Ghozlan Dental Corp.
Ghozlan Dental Corp. was paid $6.14M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoGHOZLAN DENTAL CORP.
LODI, CA 95242
LODI, CA 95242
33aNPI1447430624assigned 11/06/2007
33bProvider typeDental Clinic/Center
28Total paid$6.14M
24GClaims169,775
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#49 of 1,135
Median peer was paid$200K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2018 | 30,120 | $893K | |
| 2019 | 22,152 | $717K | |
| 2020 | 21,334 | $701K | |
| 2021 | 24,172 | $754K | |
| 2022 | 21,948 | $846K | |
| 2023 | 24,900 | $1.17M | |
| 2024incomplete | 25,149 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 10,631 | 10,608 | $908K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 14,557 | 14,514 | $846K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 9,600 | 9,572 | $589K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.8% | 4,056 | 2,221 | $477K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 12,010 | 11,970 | $455K |
| D2751 | Crown - porcelain fused to predominantly base metal | 6.4% | 835 | 741 | $393K |
| D0210 | Intraoral - complete series of radiographic images | 5.3% | 7,008 | 6,987 | $328K |
| D9430 | 5.1% | 9,928 | 9,182 | $313K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 22,586 | 22,520 | $296K |
| D1351 | Sealant - per tooth | 4.6% | 10,382 | 2,593 | $281K |
| D0274 | Bitewings - four radiographic images | 4.1% | 11,705 | 11,668 | $250K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 3,719 | 1,337 | $211K |
15 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.0% | 399 | $185K |
| D0330 | Panoramic radiographic image | 2.4% | 4,978 | $145K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 34,152 | $138K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 7,267 | $86K |
| D3221 | 1.2% | 1,193 | $75K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 773 | $50K |
| D3320 | <1% | 109 | $40K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,380 | $40K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 226 | $9K |
| D5130 | <1% | 14 | $9K | |
| D2330 | <1% | 109 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 66 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 55 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $455.00 |
| D0350 | <1% | 24 | $201.60 |
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 officialGHOZLAN, AYMAN (DENTIST)