Dental
DR. J L Maddatu Dental Corp.
DR. J L Maddatu Dental Corp. was paid $617K by Medicaid between Jan 2018 and Aug 2019, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoDR. J L MADDATU DENTAL CORP.
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1790118222assigned 08/20/2013
33bProvider typeDentist
28Total paid$617K
24GClaims18,809
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#706 of 2,314
Median peer was paid$185K
This provider vs. median3.3×
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 | 11,232 | $358K | |
| 2019 | 7,577 | $259K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,793 | 922 | $119K |
| D1110 | Prophylaxis - adult | 13% | 1,122 | 1,121 | $82K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 934 | 617 | $73K |
| D4341 | 8.7% | 875 | 238 | $54K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 1,256 | 1,256 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 813 | 812 | $44K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 798 | 798 | $36K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.7% | 246 | 144 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 494 | 277 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 6,683 | 1,863 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 509 | 509 | $15K |
| D2394 | 2.4% | 179 | 142 | $15K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 692 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,192 | $14K |
| D3320 | <1% | 16 | $6K | |
| D4910 | <1% | 72 | $6K | |
| D0240 | <1% | 520 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 505 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 42 | $2K |
| D9430 | <1% | 42 | $1K | |
| D0270 | <1% | 26 | $130.00 |
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 officialMADDATU, JONATHAN (DENTIST/OWNER)
Parent organizationJONATHAN L. MADDATU DDS INC.
| Provider | Location | Paid |
|---|---|---|
| Jonathan L Maddatu DDS INC | Van Nuys, CA | $828K |
| Maddatu Dental Corporation | Panorama City, CA | $101K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.