Dental
A Miracle Smile By DR. Dezham Dental Group INC.
A Miracle Smile By DR. Dezham Dental Group INC. was paid $2.17M by Medicaid between Jun 2020 and Dec 2024, across 29 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 21% of everything it billed.
33Billing provider infoA MIRACLE SMILE BY DR. DEZHAM DENTAL GROUP INC.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
33aNPI1750914016assigned 02/14/2020
33bProvider typeDentist
28Total paid$2.17M
24GClaims56,896
24DCodes billed29
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#260 of 2,314
Median peer was paid$185K
This provider vs. median12×
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 | 629 | $12K | |
| 2021 | 3,326 | $16K | |
| 2022 | 4,143 | $30K | |
| 2023 | 24,329 | $977K | |
| 2024incomplete | 24,469 | $1.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 21% | 1,014 | 765 | $445K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 5,062 | 5,057 | $185K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 4,751 | 4,745 | $173K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 2,746 | 1,577 | $159K |
| D1351 | Sealant - per tooth | 5.8% | 4,144 | 1,060 | $126K |
| D1110 | Prophylaxis - adult | 5.7% | 1,633 | 1,631 | $123K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 6,543 | 6,536 | $117K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 1,437 | 915 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,686 | 1,683 | $97K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 7,914 | 6,686 | $91K |
| D9999 | Unspecified adjunctive procedure, by report | 3.7% | 630 | 585 | $81K |
| D4341 | 2.8% | 1,180 | 461 | $61K |
17 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 1,241 | $60K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.6% | 122 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 6,800 | $46K |
| D0274 | Bitewings - four radiographic images | 2.1% | 3,955 | $46K |
| D9430 | 1.9% | 1,777 | $42K | |
| D2954 | 1.8% | 503 | $40K | |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 1,047 | $34K |
| D2332 | <1% | 299 | $21K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 204 | $20K |
| D4910 | <1% | 309 | $20K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 319 | $17K |
| D3320 | <1% | 15 | $5K | |
| D2331 | <1% | 33 | $2K | |
| D4342 | <1% | 27 | $954.00 | |
| D1999 | <1% | 18 | $20.00 | |
| D1330 | 0% | 1,466 | $0.00 | |
| D2950 | 0% | 21 | $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 officialESPINOZA, JOYCE (OFFICE MANAGER)