Dental
Daniel Sur DDS, INC.
Daniel Sur DDS, INC. was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoDANIEL SUR DDS, INC.
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
33aNPI1841691425assigned 09/15/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$2.46M
24GClaims126,102
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#231 of 2,668
Median peer was paid$173K
This provider vs. median14×
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 | 14,532 | $250K | |
| 2019 | 17,142 | $358K | |
| 2020 | 14,490 | $271K | |
| 2021 | 22,237 | $425K | |
| 2022 | 19,912 | $400K | |
| 2023 | 19,118 | $383K | |
| 2024incomplete | 18,671 | $373K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 8,496 | 8,470 | $478K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,972 | 8,942 | $352K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 12% | 4,550 | 2,453 | $305K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 66,823 | 10,383 | $279K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 9,650 | 9,613 | $125K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 1,732 | 1,721 | $110K |
| D0274 | Bitewings - four radiographic images | 4.3% | 4,921 | 4,896 | $106K |
| D2140 | 3.9% | 1,744 | 1,118 | $95K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,800 | 1,683 | $72K |
| D1351 | Sealant - per tooth | 2.3% | 2,082 | 761 | $57K |
| D1310 | 2.2% | 1,156 | 1,153 | $53K | |
| D2160 | 2.0% | 619 | 422 | $49K |
20 more codes
| D7240 | Removal of impacted tooth - completely bony | 2.0% | 210 | $49K |
| D0350 | 1.8% | 4,212 | $44K | |
| D9993 | 1.7% | 629 | $41K | |
| D9430 | 1.4% | 1,060 | $34K | |
| D4341 | 1.3% | 450 | $32K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 2,532 | $30K |
| D0272 | Bitewings - two radiographic images | 1.2% | 2,480 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 482 | $27K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 154 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 140 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 325 | $15K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 140 | $14K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 18 | $9K |
| D0603 | <1% | 447 | $7K | |
| D1110 | Prophylaxis - adult | <1% | 50 | $4K |
| D2954 | <1% | 32 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 90 | $3K |
| D0330 | Panoramic radiographic image | <1% | 62 | $2K |
| D2330 | <1% | 18 | $1K | |
| D0602 | <1% | 26 | $390.00 |
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 officialSUR, DANIEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Daniel Sur DDS, INC. | Los Angeles, CA | $6.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.