Dental
Daisy Fresh Dental INC
Daisy Fresh Dental INC was paid $102K by Medicaid between Mar 2018 and May 2022, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 26% of everything it billed.
33Billing provider infoDAISY FRESH DENTAL INC
ESCONDIDO, CA 92025
ESCONDIDO, CA 92025
33aNPI1871049205assigned 08/26/2016
33bProvider typeDentist
28Total paid$102K
24GClaims1,919
24DCodes billed12
24AFirst – last monthMar 2018 – May 2022
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,358 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 192 | $19K | |
| 2019 | 79 | $12K | |
| 2021 | 1,345 | $59K | |
| 2022 | 303 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 402 | 402 | $27K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 17% | 37 | 30 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 367 | 367 | $16K |
| D3221 | 14% | 234 | 184 | $14K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 144 | 85 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.4% | 56 | 37 | $4K |
| D1110 | Prophylaxis - adult | 4.2% | 47 | 47 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 58 | 24 | $3K |
| D1206 | Topical application of fluoride varnish | 2.5% | 187 | 186 | $3K |
| D0350 | 1.8% | 194 | 87 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 28 | 28 | $750.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 165 | 38 | $656.10 |
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 officialSADDUK, ALI (CEO)