Dental
Siddiqi, Nissa
Siddiqi, Nissa was paid $29K by Medicaid between Jul 2023 and Mar 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoSIDDIQI, NISSA
SAN RAMON, CA 94583
SAN RAMON, CA 94583
33aNPI1821776212assigned 07/06/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$29K
24GClaims963
24DCodes billed12
24AFirst – last monthJul 2023 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,947 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 808 | $25K | |
| 2024incomplete | 155 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 145 | 145 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 217 | 215 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 52 | 39 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 121 | 121 | $3K |
| D0330 | Panoramic radiographic image | 11% | 130 | 128 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 112 | 111 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 74 | 74 | $1K |
| D1351 | Sealant - per tooth | 4.7% | 15 | 12 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 17 | 13 | $618.80 |
| D0272 | Bitewings - two radiographic images | 1.6% | 48 | 48 | $468.21 |
| D0274 | Bitewings - four radiographic images | 1.1% | 17 | 17 | $326.56 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 14 | $85.93 |
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.