Dental
Sudan Dental Corporation
Sudan Dental Corporation was paid $63K by Medicaid between Jul 2018 and Nov 2024, across 13 billing codes. Its largest line is D0350, — 21% of everything it billed.
33Billing provider infoSUDAN DENTAL CORPORATION
CHINO, CA 91710
CHINO, CA 91710
33aNPI1912441148assigned 12/07/2016
33bProvider typeDentist
28Total paid$63K
24GClaims4,516
24DCodes billed13
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,499 of 2,314
Median peer was paid$185K
This provider vs. median0.3×
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 | 29 | $2K | |
| 2019 | 30 | $339.00 | |
| 2020 | 325 | $7K | |
| 2021 | 242 | $1K | |
| 2022 | 324 | $4K | |
| 2023 | 958 | $8K | |
| 2024incomplete | 2,608 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0350 | 21% | 1,426 | 367 | $13K | |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 2,126 | 375 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 112 | 111 | $7K |
| D1110 | Prophylaxis - adult | 10% | 73 | 73 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 91 | 29 | $6K |
| D4910 | 6.9% | 58 | 58 | $4K | |
| D9430 | 6.2% | 121 | 110 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 81 | 81 | $4K |
| D1206 | Topical application of fluoride varnish | 5.8% | 228 | 227 | $4K |
| D0274 | Bitewings - four radiographic images | 3.3% | 99 | 99 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 18 | 17 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 25 | 24 | $1K |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 58 | $787.50 |
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 officialSUDAN, ANISHA (OWNER)