Clinic
Elsemary and Salem Dental Corporation
Elsemary and Salem Dental Corporation was paid $3.01M by Medicaid between Mar 2021 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoELSEMARY AND SALEM DENTAL CORPORATION
WOODLAND, CA 95695
WOODLAND, CA 95695
33aNPI1851987549assigned 12/16/2020
33bProvider typeDental Clinic/Center
28Total paid$3.01M
24GClaims109,158
24DCodes billed30
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#104 of 1,135
Median peer was paid$200K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 10,823 | $266K | |
| 2022 | 25,362 | $654K | |
| 2023 | 32,983 | $898K | |
| 2024incomplete | 39,990 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,975 | 8,907 | $434K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,519 | 4,487 | $332K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 4,610 | 2,480 | $294K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.7% | 1,790 | 508 | $202K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 3,427 | 1,763 | $178K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 2,616 | 2,609 | $176K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 8,858 | 8,783 | $170K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 39,935 | 7,597 | $163K |
| D1310 | 5.3% | 3,604 | 3,554 | $161K | |
| D1351 | Sealant - per tooth | 4.8% | 4,323 | 1,604 | $146K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 2,850 | 2,447 | $112K |
| D3240 | 3.5% | 1,134 | 385 | $107K |
18 more codes
| D0350 | 2.8% | 8,542 | $84K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.3% | 319 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 1,248 | $68K |
| D0274 | Bitewings - four radiographic images | 1.5% | 2,222 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 512 | $40K |
| D0603 | 1.2% | 2,569 | $38K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 527 | $37K |
| D0272 | Bitewings - two radiographic images | 1.1% | 2,985 | $35K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 587 | $27K |
| D2330 | <1% | 337 | $25K | |
| D9430 | <1% | 751 | $24K | |
| D9222 | <1% | 106 | $12K | |
| D0602 | <1% | 652 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 770 | $9K |
| D9610 | <1% | 144 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 138 | $5K |
| D0330 | Panoramic radiographic image | <1% | 91 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 17 | $79.00 |
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 officialCORTES, VERONICA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Elsemary and Salem Dental Corporation | Elk Grove, CA | $890K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.