Dental
Fielat Sandu Dental Practice
Fielat Sandu Dental Practice was paid $9K by Medicaid between Jul 2024 and Nov 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoFIELAT SANDU DENTAL PRACTICE
MISSION VIEJO, CA 92692
MISSION VIEJO, CA 92692
33aNPI1609657725assigned 10/13/2023
33bProvider typePediatric Dentist
28Total paid$9K
24GClaims401
24DCodes billed8
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#288 of 332
Median peer was paid$450K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 401 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 46 | 46 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 52 | 52 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 194 | 61 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 36 | 36 | $679.00 |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 12 | 12 | $420.00 |
| D0330 | Panoramic radiographic image | 4.1% | 12 | 12 | $360.00 |
| D0350 | 3.6% | 33 | 12 | $316.80 | |
| D0272 | Bitewings - two radiographic images | 2.2% | 16 | 16 | $192.00 |
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 officialABUL-FIELAT, MOHAMMAD (DENTIST/OWNER)
Parent organizationFIELAT SANDU DENTAL PRACTICE
| Provider | Location | Paid |
|---|---|---|
| Mohammad Abul-Fielat DDS INC | Chino, CA | $8.30M |
| Mohammad Abul Fielat DDS INC | Moreno Valley, CA | $6.44M |
| Mohammad Abul Fielat DDS INC | Fontana, CA | $4.88M |
| Mohammad Abul-Fielat DDS INC | Santa Ana, CA | $3.69M |
| Mohammad Abul Fielat DDS INC | Eastvale, CA | $811K |
| Mohammad Abul Fielat DDS INC | Anaheim, CA | $796K |
| Mohammad Abul-Fielat DDS INC | Riverside, CA | $233K |
| Mohammad Abul Fielat DDS INC | Irvine, CA | $154K |
| Mohammad Abul-Fielat DDS INC | Garden Grove, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.