Dental
P Putrasahan DDS INC
P Putrasahan DDS INC was paid $17.90M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D0120, dental checkup, returning patient — 11% of everything it billed.
33Billing provider infoP PUTRASAHAN DDS INC
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
33aNPI1831386168assigned 10/01/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$17.90M
24GClaims633,550
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#18 of 2,668
Median peer was paid$173K
This provider vs. median104×
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 | 84,578 | $2.23M | |
| 2019 | 91,824 | $2.62M | |
| 2020 | 73,774 | $2.11M | |
| 2021 | 81,746 | $2.15M | |
| 2022 | 96,821 | $2.94M | |
| 2023 | 103,624 | $3.04M | |
| 2024incomplete | 101,183 | $2.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 35,203 | 34,982 | $2.03M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 11% | 20,101 | 6,009 | $1.98M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 43,338 | 43,014 | $1.73M |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 7.2% | 6,623 | 2,504 | $1.30M |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.2% | 19,281 | 7,688 | $1.29M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.8% | 10,268 | 3,599 | $1.22M |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 267,694 | 52,872 | $1.12M |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 10,445 | 10,396 | $669K |
| D2140 | 3.6% | 11,755 | 5,333 | $639K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 43,353 | 43,027 | $551K |
| D1351 | Sealant - per tooth | 2.8% | 16,747 | 3,497 | $494K |
| D9221 | 2.6% | 1,491 | 1,386 | $469K |
27 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 36,340 | $429K |
| D2330 | 2.2% | 5,130 | $390K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 6,696 | $383K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 8,571 | $335K |
| D0350 | 1.8% | 28,975 | $314K | |
| D9220 | 1.7% | 1,453 | $310K | |
| D9222 | 1.7% | 2,499 | $305K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 25,385 | $299K |
| D1310 | 1.5% | 6,038 | $265K | |
| D9430 | 1.1% | 6,336 | $198K | |
| D1510 | 1.1% | 1,257 | $197K | |
| D1110 | Prophylaxis - adult | <1% | 2,067 | $178K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,980 | $162K |
| D2335 | <1% | 1,251 | $147K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,713 | $99K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,400 | $94K |
| D2331 | <1% | 1,117 | $90K | |
| D2160 | <1% | 979 | $78K | |
| D0603 | <1% | 3,885 | $55K | |
| D2332 | <1% | 422 | $35K | |
| D0601 | <1% | 1,912 | $28K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 53 | $4K |
| D2931 | <1% | 30 | $4K | |
| D0602 | <1% | 127 | $2K | |
| D3222 | <1% | 17 | $2K | |
| D0270 | <1% | 12 | $60.00 | |
| D9993 | 0% | 606 | $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 officialPUTRASAHAN, PERRI (OWNER)