Clinic
Elsemary and Salem Dental Corporation
Elsemary and Salem Dental Corporation was paid $890K by Medicaid between Oct 2019 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoELSEMARY AND SALEM DENTAL CORPORATION
ELK GROVE, CA 95758
ELK GROVE, CA 95758
33aNPI1649721515assigned 10/17/2016
33bProvider typeDental Clinic/Center
28Total paid$890K
24GClaims26,813
24DCodes billed22
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#261 of 1,135
Median peer was paid$200K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2019 | 40 | $1K | |
| 2020 | 262 | $3K | |
| 2021 | 661 | $7K | |
| 2022 | 2,188 | $54K | |
| 2023 | 9,644 | $343K | |
| 2024incomplete | 14,018 | $481K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 4,005 | 4,004 | $206K |
| D1206 | Topical application of fluoride varnish | 15% | 3,996 | 3,995 | $136K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,668 | 1,041 | $111K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,962 | 1,961 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 1,345 | 1,344 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 6,292 | 3,342 | $78K |
| D1351 | Sealant - per tooth | 7.6% | 1,769 | 618 | $68K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 747 | 701 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 421 | 276 | $23K |
| D0272 | Bitewings - two radiographic images | 2.5% | 1,840 | 1,840 | $22K |
| D0274 | Bitewings - four radiographic images | 1.5% | 614 | 614 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 61 | 54 | $5K |
10 more codes
| D9999 | Unspecified adjunctive procedure, by report | <1% | 37 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 63 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 99 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 111 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $576.00 |
| D0603 | <1% | 632 | $438.00 | |
| D1310 | <1% | 324 | $322.00 | |
| D0601 | <1% | 664 | $237.00 | |
| D0602 | <1% | 125 | $90.00 |
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 officialCORTES, VERONICA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Elsemary and Salem Dental Corporation | Woodland, CA | $3.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.