Dental
R Edalatpajouh Dental INC
R Edalatpajouh Dental INC was paid $2.62M by Medicaid between Oct 2022 and Dec 2024, across 42 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 22% of everything it billed.
33Billing provider infoR EDALATPAJOUH DENTAL INC
PALMDALE, CA 93550
PALMDALE, CA 93550
33aNPI1619611944assigned 04/22/2022
33bProvider typeDentist
28Total paid$2.62M
24GClaims67,871
24DCodes billed42
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#203 of 2,314
Median peer was paid$185K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2022 | 471 | $17K | |
| 2023 | 31,736 | $1.13M | |
| 2024incomplete | 35,664 | $1.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 22% | 1,219 | 881 | $570K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 4,837 | 4,834 | $308K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 2,486 | 1,383 | $158K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 2,841 | 2,834 | $136K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.1% | 1,200 | 586 | $133K |
| D4341 | 4.9% | 1,990 | 557 | $129K | |
| D1351 | Sealant - per tooth | 4.4% | 3,276 | 839 | $115K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 26,949 | 5,619 | $108K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.7% | 214 | 197 | $96K |
| D2954 | 3.4% | 881 | 667 | $90K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,509 | 834 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 1,089 | 1,087 | $69K |
30 more codes
| D3320 | 2.4% | 178 | $62K | |
| D0274 | Bitewings - four radiographic images | 2.4% | 3,196 | $62K |
| D1110 | Prophylaxis - adult | 1.8% | 584 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 2,408 | $43K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 1,029 | $42K |
| D4910 | 1.4% | 512 | $37K | |
| D9430 | 1.3% | 1,149 | $35K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 537 | $30K |
| D0340 | <1% | 513 | $25K | |
| D1310 | <1% | 538 | $23K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 218 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 303 | $23K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 89 | $20K |
| D1320 | <1% | 1,269 | $19K | |
| D1206 | Topical application of fluoride varnish | <1% | 977 | $18K |
| D3310 | <1% | 62 | $18K | |
| D0350 | <1% | 1,832 | $17K | |
| D4342 | <1% | 361 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,323 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 273 | $10K |
| D0272 | Bitewings - two radiographic images | <1% | 992 | $10K |
| D0330 | Panoramic radiographic image | <1% | 344 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 132 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 154 | $5K |
| D0601 | <1% | 275 | $4K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 26 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 26 | $3K |
| D7111 | <1% | 28 | $1K | |
| D2330 | <1% | 14 | $961.99 | |
| D0603 | <1% | 38 | $540.00 |
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 officialEDALATPAJOUH, RYAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| F Edalatpajouh Dental INC | Maywood, CA | $1.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.