Clinic
J. Siderman DDS a Professional Dental Corporation
J. Siderman DDS a Professional Dental Corporation was paid $1.39M by Medicaid between Oct 2018 and Dec 2024, across 25 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 13% of everything it billed.
33Billing provider infoJ. SIDERMAN DDS A PROFESSIONAL DENTAL CORPORATION
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1730667601assigned 08/02/2018
33bProvider typeDental Clinic/Center
28Total paid$1.39M
24GClaims58,698
24DCodes billed25
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#185 of 1,135
Median peer was paid$200K
This provider vs. median6.9×
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 | 378 | $6K | |
| 2019 | 1,086 | $14K | |
| 2020 | 1,898 | $35K | |
| 2021 | 9,891 | $180K | |
| 2022 | 14,278 | $334K | |
| 2023 | 17,649 | $421K | |
| 2024incomplete | 13,518 | $400K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 2,785 | 2,773 | $185K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,746 | 3,707 | $175K |
| D1351 | Sealant - per tooth | 11% | 4,666 | 1,127 | $153K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,988 | 1,957 | $152K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 29,115 | 4,949 | $120K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.2% | 1,709 | 813 | $115K |
| D1110 | Prophylaxis - adult | 6.5% | 1,032 | 1,024 | $91K |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.9% | 171 | 121 | $81K |
| D1206 | Topical application of fluoride varnish | 5.6% | 4,829 | 4,783 | $78K |
| D2140 | 3.8% | 973 | 488 | $53K | |
| D0272 | Bitewings - two radiographic images | 3.5% | 4,031 | 3,992 | $48K |
| D4341 | 3.1% | 615 | 163 | $43K |
13 more codes
| D1310 | 1.9% | 721 | $27K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 904 | $11K |
| D9993 | <1% | 152 | $9K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 157 | $9K |
| D4910 | <1% | 117 | $9K | |
| D0601 | <1% | 456 | $7K | |
| D4342 | <1% | 143 | $6K | |
| D2160 | <1% | 72 | $6K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 41 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 41 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 40 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 179 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $525.00 |
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 officialSIDERMAN, JERRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Siderman, Yampolsky Dental Corporation | Huntington Park, CA | $7.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.