Clinic
Gill Dalla Dental INC
Gill Dalla Dental INC was paid $377K by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoGILL DALLA DENTAL INC
LODI, CA 95240
LODI, CA 95240
33aNPI1609403021assigned 03/25/2020
33bProvider typeDental Clinic/Center
28Total paid$377K
24GClaims8,617
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#438 of 1,135
Median peer was paid$200K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2020 | 106 | $6K | |
| 2021 | 1,027 | $55K | |
| 2022 | 1,637 | $75K | |
| 2023 | 2,364 | $89K | |
| 2024incomplete | 3,483 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 1,389 | 1,380 | $91K |
| D9430 | 18% | 2,107 | 1,619 | $67K | |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,250 | 1,241 | $59K |
| D1110 | Prophylaxis - adult | 11% | 494 | 489 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 504 | 205 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 320 | 154 | $21K |
| D2740 | Crown - porcelain/ceramic | 5.3% | 42 | 19 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 178 | 176 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 115 | 41 | $13K |
| D1206 | Topical application of fluoride varnish | 2.4% | 554 | 547 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,133 | 521 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 146 | 143 | $3K |
3 more codes
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 officialDALLA, DEVAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Dalla Gill Dental INC | Woodland, CA | $1.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.