Dental
Ly Dental Corporation
Ly Dental Corporation was paid $229K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoLY DENTAL CORPORATION
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1720495849assigned 07/21/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$229K
24GClaims6,208
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,234 of 2,668
Median peer was paid$173K
This provider vs. median1.3×
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 | 1,467 | $44K | |
| 2019 | 2,056 | $79K | |
| 2020 | 1,556 | $61K | |
| 2021 | 747 | $23K | |
| 2022 | 41 | $2K | |
| 2023 | 49 | $3K | |
| 2024incomplete | 292 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 620 | 618 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 714 | 714 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 534 | 266 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 554 | 554 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 491 | 487 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 257 | 170 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 1,583 | 609 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 531 | 529 | $6K |
| D1206 | Topical application of fluoride varnish | 2.3% | 315 | 315 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 91 | 46 | $5K |
| D0272 | Bitewings - two radiographic images | 1.7% | 346 | 344 | $4K |
| D4341 | 1.0% | 34 | 13 | $2K |
3 more codes
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 officialLY, QUY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ly Dental Corporation | Westminster, CA | $83K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.