Dental
Mohamed Kays Dowaidari DDS PC Delicate Dental Spa Dental Group
Mohamed Kays Dowaidari DDS PC Delicate Dental Spa Dental Group was paid $704K by Medicaid between Mar 2021 and Nov 2024, across 22 billing codes. Its largest line is D4910, — 13% of everything it billed.
33Billing provider infoMOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP
UPLAND, CA 91784
UPLAND, CA 91784
33aNPI1508376989assigned 10/11/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$704K
24GClaims18,239
24DCodes billed22
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#723 of 2,668
Median peer was paid$173K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2021 | 3,450 | $135K | |
| 2022 | 4,394 | $163K | |
| 2023 | 4,898 | $192K | |
| 2024incomplete | 5,497 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4910 | 13% | 1,169 | 1,164 | $90K | |
| D1110 | Prophylaxis - adult | 12% | 1,003 | 997 | $88K |
| D2332 | 11% | 1,016 | 177 | $80K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 9.6% | 143 | 95 | $68K |
| D4341 | 8.4% | 845 | 233 | $59K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 844 | 841 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 591 | 586 | $52K |
| D9430 | 6.3% | 1,394 | 1,149 | $45K | |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 656 | 655 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 447 | 232 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 1,436 | 1,430 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 4,560 | 1,243 | $18K |
10 more codes
| D0350 | 2.3% | 1,764 | $17K | |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 1,216 | $14K |
| D2954 | 1.7% | 115 | $12K | |
| D1120 | Dental cleaning, child | 1.4% | 229 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 100 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 374 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 132 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $3K |
| D1351 | Sealant - per tooth | <1% | 136 | $2K |
| D4342 | <1% | 35 | $1K |
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 officialCHATMAN, NATASHA (OFFICE MANAGER)