Dental
F Edalatpajouh Dental INC
F Edalatpajouh Dental INC was paid $1.48M by Medicaid between Sep 2021 and Dec 2024, across 34 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 20% of everything it billed.
33Billing provider infoF EDALATPAJOUH DENTAL INC
MAYWOOD, CA 90270
MAYWOOD, CA 90270
33aNPI1669068201assigned 12/17/2020
33bProvider typeDentist
28Total paid$1.48M
24GClaims55,892
24DCodes billed34
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#363 of 2,314
Median peer was paid$185K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2021 | 3,241 | $92K | |
| 2022 | 16,418 | $396K | |
| 2023 | 19,092 | $516K | |
| 2024incomplete | 17,141 | $477K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 20% | 645 | 487 | $302K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 3,055 | 3,044 | $199K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 30,883 | 6,033 | $125K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 1,117 | 1,116 | $82K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 1,176 | 670 | $77K |
| D4341 | 4.3% | 952 | 268 | $64K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 4.2% | 134 | 130 | $62K |
| D9430 | 4.2% | 1,970 | 1,924 | $62K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 1,109 | 550 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 1,200 | 1,191 | $59K |
| D0274 | Bitewings - four radiographic images | 3.6% | 2,674 | 2,667 | $54K |
| D0340 | 3.1% | 918 | 914 | $46K |
22 more codes
| D1351 | Sealant - per tooth | 2.8% | 1,177 | $41K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 366 | $41K |
| D1110 | Prophylaxis - adult | 2.5% | 440 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 2,065 | $32K |
| D0330 | Panoramic radiographic image | 2.0% | 1,034 | $30K |
| D0272 | Bitewings - two radiographic images | 1.3% | 1,619 | $19K |
| D2954 | 1.3% | 185 | $19K | |
| D4910 | 1.1% | 211 | $16K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 267 | $10K |
| D0350 | <1% | 1,031 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 819 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 229 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 158 | $7K |
| D1310 | <1% | 78 | $3K | |
| D1320 | <1% | 162 | $3K | |
| D9110 | <1% | 26 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $1K |
| D3221 | <1% | 16 | $1K | |
| D0603 | <1% | 77 | $971.25 | |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $402.50 |
| D0270 | <1% | 25 | $120.00 | |
| D9993 | 0% | 31 | $0.00 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| R Edalatpajouh Dental INC | Palmdale, CA | $2.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.