Dental
Heru Wiredja,dds,inc
Heru Wiredja,dds,inc was paid $414K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoHERU WIREDJA,DDS,INC
MAYWOOD, CA 90270
MAYWOOD, CA 90270
33aNPI1659783918assigned 05/21/2014
33bProvider typeDentist
28Total paid$414K
24GClaims14,126
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#849 of 2,314
Median peer was paid$185K
This provider vs. median2.2×
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 | 2,133 | $45K | |
| 2019 | 1,734 | $39K | |
| 2020 | 1,184 | $29K | |
| 2021 | 2,034 | $59K | |
| 2022 | 2,176 | $73K | |
| 2023 | 2,658 | $83K | |
| 2024incomplete | 2,207 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 1,376 | 1,373 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,779 | 1,768 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 648 | 647 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.4% | 531 | 313 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 759 | 758 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 597 | 595 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 6,484 | 1,902 | $26K |
| D2791 | 4.4% | 38 | 27 | $18K | |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,084 | 1,080 | $12K |
| D2140 | 1.8% | 139 | 85 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 606 | 606 | $7K |
| D2160 | <1% | 22 | 17 | $2K |
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 officialWIREDJA, HERU (PRESIDENT)