Dental
Su Aldaba Dental Corporation
Su Aldaba Dental Corporation was paid $141K by Medicaid between May 2023 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoSU ALDABA DENTAL CORPORATION
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1972183135assigned 04/12/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$141K
24GClaims5,838
24DCodes billed13
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,413 of 2,668
Median peer was paid$173K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 1,369 | $35K | |
| 2024incomplete | 4,469 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 720 | 720 | $37K |
| D1310 | 15% | 469 | 469 | $21K | |
| D1206 | Topical application of fluoride varnish | 12% | 713 | 713 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 238 | 238 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 239 | 239 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 2,272 | 476 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 6.0% | 131 | 131 | $8K |
| D0603 | 4.9% | 467 | 467 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 326 | 316 | $4K |
| D1351 | Sealant - per tooth | 1.6% | 59 | 14 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 42 | 40 | $2K |
| D0350 | <1% | 113 | 40 | $1K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 49 | $576.00 |
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 officialSU, BRITTANY (OWNER DENTIST)