Clinic
Ansari Dental Corporation, INC.
Ansari Dental Corporation, INC. was paid $2.34M by Medicaid between Jun 2018 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoANSARI DENTAL CORPORATION, INC.
SAN RAMON, CA 94583
SAN RAMON, CA 94583
33aNPI1780190629assigned 12/14/2017
33bProvider typeDental Clinic/Center
28Total paid$2.34M
24GClaims66,625
24DCodes billed34
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#123 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2018 | 1,655 | $56K | |
| 2019 | 5,067 | $187K | |
| 2020 | 6,663 | $213K | |
| 2021 | 10,439 | $316K | |
| 2022 | 13,160 | $448K | |
| 2023 | 13,584 | $487K | |
| 2024incomplete | 16,057 | $635K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 3,331 | 961 | $397K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 12% | 2,923 | 881 | $288K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 2,953 | 2,926 | $193K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 4,396 | 4,360 | $183K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 2,532 | 871 | $167K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 2,436 | 2,429 | $161K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 2,605 | 1,062 | $148K |
| D1310 | 4.9% | 2,574 | 2,560 | $114K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 20,872 | 6,252 | $90K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 2,117 | 2,087 | $84K |
| D9993 | 2.8% | 1,097 | 1,095 | $65K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 3,558 | 3,532 | $57K |
22 more codes
| D2160 | 1.7% | 515 | $41K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 600 | $40K |
| D0272 | Bitewings - two radiographic images | 1.6% | 3,135 | $37K |
| D2335 | 1.5% | 288 | $34K | |
| D1351 | Sealant - per tooth | 1.4% | 984 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,715 | $32K |
| D0603 | 1.2% | 2,006 | $29K | |
| D0350 | 1.1% | 2,039 | $26K | |
| D0330 | Panoramic radiographic image | <1% | 741 | $22K |
| D1510 | <1% | 98 | $20K | |
| D0274 | Bitewings - four radiographic images | <1% | 711 | $15K |
| D2330 | <1% | 183 | $13K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 155 | $12K |
| D2933 | <1% | 109 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 495 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 125 | $7K |
| D2332 | <1% | 48 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 38 | $3K |
| D0602 | <1% | 140 | $2K | |
| D9248 | <1% | 49 | $2K | |
| D9430 | <1% | 25 | $800.00 | |
| D0601 | <1% | 32 | $480.00 |
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 officialJABERIANSARI, MAHSA (OWNER)
Parent organizationMAHSA JABERIANSARI DDS INC.
| Provider | Location | Paid |
|---|---|---|
| Mahsa Jaberiansari DDS INC | San Pablo, CA | $12.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.