Clinic
Sylvia Salem Dds,inc.
Sylvia Salem Dds,inc. was paid $14K by Medicaid between Mar 2021 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoSYLVIA SALEM DDS,INC.
COVINA, CA 91723
COVINA, CA 91723
33aNPI1912405119assigned 01/23/2018
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims479
24DCodes billed6
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#928 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | 35 | $2K | |
| 2022 | 65 | $4K | |
| 2023 | 209 | $4K | |
| 2024incomplete | 170 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 69 | 69 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 56 | 56 | $5K |
| D1206 | Topical application of fluoride varnish | 14% | 118 | 118 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 164 | 32 | $684.45 |
| D0274 | Bitewings - four radiographic images | 3.9% | 26 | 26 | $561.60 |
| D0350 | 3.0% | 46 | 14 | $422.40 |
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 officialMEMBRENO, NELLIE (FRONT OFFICE/MANAGER)