Dental
Etemadi Dental Corporation
Etemadi Dental Corporation was paid $776K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 21% of everything it billed.
33Billing provider infoETEMADI DENTAL CORPORATION
RANCHO CUCAMONGA, CA 91739
RANCHO CUCAMONGA, CA 91739
33aNPI1699842492assigned 11/29/2006
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$776K
24GClaims23,584
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#90 of 251
Median peer was paid$303K
This provider vs. median2.6×
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 | 2,720 | $52K | |
| 2019 | 2,418 | $58K | |
| 2020 | 3,234 | $79K | |
| 2021 | 3,815 | $86K | |
| 2022 | 4,599 | $160K | |
| 2023 | 3,735 | $205K | |
| 2024incomplete | 3,063 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 21% | 342 | 240 | $162K |
| D1110 | Prophylaxis - adult | 14% | 1,250 | 1,242 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,896 | 1,886 | $105K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 1,058 | 1,053 | $66K |
| D2160 | 7.0% | 691 | 371 | $55K | |
| D0274 | Bitewings - four radiographic images | 5.9% | 2,170 | 2,155 | $46K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 8,961 | 3,974 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 1,037 | 1,035 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 2,297 | 2,284 | $29K |
| D9430 | 3.1% | 747 | 742 | $24K | |
| D2954 | 2.9% | 219 | 169 | $23K | |
| D4341 | 1.9% | 212 | 64 | $15K |
11 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.8% | 209 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,077 | $13K |
| D1320 | 1.4% | 840 | $11K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 74 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 91 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 96 | $4K |
| D3221 | <1% | 49 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 219 | $2K |
| D4910 | <1% | 15 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $982.80 |
| D0374 | 0% | 16 | $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 officialETEMADI, KHASHAYAR (PRESIDENT)