Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Colton › NPI 1528487634
Clinic

Jeffrey Dharmawan Dds.Inc

Jeffrey Dharmawan Dds.Inc was paid $293K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.

33Billing provider infoJEFFREY DHARMAWAN DDS.INC
COLTON, CA 92324
33aNPI1528487634assigned 04/16/2014
33bProvider typeDental Clinic/Center
28Total paid$293K
24GClaims7,378
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#488 of 1,135
Median peer was paid$200K
This provider vs. median1.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,619$45K
20191,550$50K
2020797$29K
2021775$34K
2022994$45K
2023978$49K
2024incomplete665$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 25% 1,173 1,169 $73K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 1,352 1,347 $67K
D1110 Prophylaxis - adult 21% 735 730 $60K
D1120 Dental cleaning, childProphylaxis - child 9.4% 798 793 $28K
D0272 Bitewings - two radiographic images 5.7% 1,438 1,431 $17K
D2140 3.2% 181 100 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.6% 68 24 $8K
D0330 Panoramic radiographic image 2.5% 257 256 $7K
D0210 Intraoral - complete series of radiographic images 2.3% 147 144 $7K
D1351 Sealant - per tooth 1.7% 195 39 $5K
D2150 Silver amalgam - two surfaces, primary or permanent 1.6% 74 46 $5K
D0230 Intraoral - periapical each additional radiographic image 1.3% 911 428 $4K
1 more codes
D4341 1.2% 49 $3K

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 officialDHARMAWAN, JEFFREY (DENTIST)