Clinic
Edalat Dental Group, Apc
Edalat Dental Group, Apc was paid $304K by Medicaid between Dec 2020 and Nov 2024, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 40% of everything it billed.
33Billing provider infoEDALAT DENTAL GROUP, APC
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
33aNPI1730794801assigned 09/15/2020
33bProvider typeDental Clinic/Center
28Total paid$304K
24GClaims9,940
24DCodes billed17
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#478 of 1,135
Median peer was paid$200K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 653 | $17K | |
| 2021 | 1,849 | $62K | |
| 2022 | 2,617 | $81K | |
| 2023 | 2,604 | $78K | |
| 2024incomplete | 2,217 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 40% | 1,882 | 1,878 | $122K |
| D0210 | Intraoral - complete series of radiographic images | 21% | 1,469 | 1,467 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 364 | 364 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 429 | 429 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 1,082 | 1,080 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 3,022 | 817 | $13K |
| D9430 | 4.1% | 402 | 377 | $12K | |
| D0330 | Panoramic radiographic image | 3.3% | 342 | 338 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 598 | 595 | $7K |
| D1110 | Prophylaxis - adult | 1.6% | 57 | 57 | $5K |
| D4910 | 1.2% | 45 | 45 | $4K | |
| D1351 | Sealant - per tooth | 1.1% | 153 | 34 | $3K |
5 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 officialEDALAT, SAMAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Saman Edalat DDS INC. | Whittier, CA | $301K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.