Dental
Dental Wonderland
Dental Wonderland was paid $343K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoDENTAL WONDERLAND
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
33aNPI1659599124assigned 04/23/2007
33bProvider typeEndodontist
28Total paid$343K
24GClaims25,386
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in California
Rank by total paid#25 of 68
Median peer was paid$116K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 8,028 | $97K | |
| 2019 | 5,324 | $63K | |
| 2020 | 3,309 | $37K | |
| 2021 | 3,081 | $35K | |
| 2022 | 2,450 | $33K | |
| 2023 | 1,246 | $51K | |
| 2024incomplete | 1,948 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,408 | 1,403 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,345 | 1,334 | $41K |
| D0350 | 11% | 10,073 | 3,242 | $37K | |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 7,314 | 2,799 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 652 | 650 | $36K |
| D2751 | Crown - porcelain fused to predominantly base metal | 9.0% | 66 | 39 | $31K |
| D0274 | Bitewings - four radiographic images | 5.2% | 1,005 | 1,003 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 1,526 | 1,510 | $16K |
| D2140 | 3.8% | 248 | 89 | $13K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.6% | 185 | 81 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 279 | 278 | $11K |
| D9430 | 2.2% | 241 | 237 | $7K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 532 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 73 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 82 | $3K |
| D1351 | Sealant - per tooth | <1% | 130 | $3K |
| D9310 | <1% | 57 | $2K | |
| D2952 | <1% | 20 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 69 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 47 | $498.00 |
| D1999 | <1% | 34 | $60.00 |
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 officialDEIRMENJIAN, SANDRA (OWNER)