Clinic
Shanabo Dental Corporation
Shanabo Dental Corporation was paid $903K by Medicaid between Oct 2019 and Dec 2024, across 23 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 22% of everything it billed.
33Billing provider infoSHANABO DENTAL CORPORATION
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1801453337assigned 05/21/2019
33bProvider typeDental Clinic/Center
28Total paid$903K
24GClaims23,770
24DCodes billed23
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#257 of 1,135
Median peer was paid$200K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2019 | 661 | $18K | |
| 2020 | 4,734 | $126K | |
| 2021 | 6,116 | $206K | |
| 2022 | 3,679 | $109K | |
| 2023 | 4,686 | $214K | |
| 2024incomplete | 3,894 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 22% | 418 | 285 | $197K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 2,172 | 576 | $112K |
| D4910 | 10% | 1,191 | 1,183 | $91K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 1,219 | 500 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 939 | 930 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 716 | 713 | $47K |
| D2954 | 3.9% | 332 | 230 | $35K | |
| D1110 | Prophylaxis - adult | 3.8% | 407 | 402 | $35K |
| D2330 | 3.8% | 473 | 197 | $34K | |
| D0350 | 3.7% | 3,330 | 1,007 | $33K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 7,806 | 1,548 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 693 | 684 | $30K |
11 more codes
| D0274 | Bitewings - four radiographic images | 2.4% | 1,076 | $22K |
| D2331 | 2.2% | 237 | $20K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 1,127 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 257 | $12K |
| D9430 | 1.3% | 380 | $12K | |
| D4341 | 1.2% | 161 | $11K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 134 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 636 | $8K |
| D4342 | <1% | 40 | $2K | |
| D3221 | <1% | 13 | $819.00 | |
| D1330 | 0% | 13 | $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 officialSHANABO, SHAZA (PRESIDENT)