Dental
Dentalville
Dentalville was paid $4.90M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoDENTALVILLE
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
33aNPI1639375488assigned 06/26/2007
33bProvider typeDentist
28Total paid$4.90M
24GClaims239,975
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#100 of 2,314
Median peer was paid$185K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2018 | 47,000 | $938K | |
| 2019 | 44,765 | $955K | |
| 2020 | 31,635 | $610K | |
| 2021 | 36,754 | $743K | |
| 2022 | 30,994 | $668K | |
| 2023 | 26,109 | $520K | |
| 2024incomplete | 22,718 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 15,719 | 15,681 | $834K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 9,686 | 4,255 | $648K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 13,934 | 13,893 | $511K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 124,560 | 21,763 | $497K |
| D2140 | 6.4% | 5,784 | 2,938 | $314K | |
| D0274 | Bitewings - four radiographic images | 6.3% | 14,575 | 14,531 | $309K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 14,631 | 14,587 | $164K |
| D0350 | 3.1% | 14,794 | 7,026 | $154K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.0% | 1,278 | 583 | $148K |
| D2160 | 3.0% | 1,845 | 1,064 | $146K | |
| D7111 | 2.9% | 2,451 | 1,231 | $140K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,130 | 2,129 | $128K |
24 more codes
| D1351 | Sealant - per tooth | 2.4% | 4,803 | $119K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 1,083 | $107K |
| D4910 | 2.1% | 1,313 | $101K | |
| D8670 | Periodic orthodontic treatment visit | 2.1% | 347 | $101K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 653 | $78K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 981 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,078 | $59K |
| D2330 | 1.0% | 652 | $50K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 193 | $45K |
| D0272 | Bitewings - two radiographic images | <1% | 3,673 | $43K |
| D4341 | <1% | 471 | $32K | |
| D9993 | <1% | 479 | $31K | |
| D1310 | <1% | 558 | $25K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,108 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 343 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 191 | $8K |
| D1110 | Prophylaxis - adult | <1% | 110 | $6K |
| D0603 | <1% | 290 | $4K | |
| D9430 | <1% | 95 | $3K | |
| D2390 | <1% | 25 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 30 | $2K |
| D0330 | Panoramic radiographic image | <1% | 55 | $2K |
| D4342 | <1% | 32 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $450.00 |
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 officialGLOSMAN, LEONID (OWNER)