Clinic
Edison S. Han, D.D.S., INC
Edison S. Han, D.D.S., INC was paid $578K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoEDISON S. HAN, D.D.S., INC
COVINA, CA 91723
COVINA, CA 91723
33aNPI1457552788assigned 05/31/2007
33bProvider typeDental Clinic/Center
28Total paid$578K
24GClaims22,940
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#346 of 1,135
Median peer was paid$200K
This provider vs. median2.9×
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 | 3,103 | $56K | |
| 2019 | 2,514 | $46K | |
| 2020 | 1,584 | $36K | |
| 2021 | 2,697 | $62K | |
| 2022 | 4,079 | $104K | |
| 2023 | 4,388 | $121K | |
| 2024incomplete | 4,575 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 1,937 | 1,907 | $103K |
| D1110 | Prophylaxis - adult | 13% | 1,203 | 1,191 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,891 | 1,859 | $70K |
| D9430 | 9.8% | 2,166 | 1,981 | $57K | |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 1,481 | 1,463 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 1,222 | 1,213 | $46K |
| D1206 | Topical application of fluoride varnish | 5.7% | 2,170 | 2,134 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 445 | 287 | $24K |
| D0274 | Bitewings - four radiographic images | 4.0% | 2,035 | 2,015 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 4,511 | 2,867 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 341 | 205 | $16K |
| D2740 | Crown - porcelain/ceramic | 2.7% | 34 | 27 | $15K |
9 more codes
| D0330 | Panoramic radiographic image | 2.4% | 401 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,300 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 493 | $9K |
| D9999 | Unspecified adjunctive procedure, by report | 1.1% | 53 | $6K |
| D9310 | <1% | 80 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 16 | $1K |
| D0270 | <1% | 43 | $149.00 | |
| D1999 | <1% | 76 | $20.00 | |
| D1330 | 0% | 42 | $0.00 |
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 officialHAN, EDISON (PRESIDENT, DENTIST)