Clinic
Del Mar Pediatric & Adolescents Dental Group
Del Mar Pediatric & Adolescents Dental Group was paid $44K by Medicaid between Nov 2018 and Jun 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoDEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
33aNPI1972830180assigned 11/09/2009
33bProvider typeDental Clinic/Center
28Total paid$44K
24GClaims2,992
24DCodes billed12
24AFirst – last monthNov 2018 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#807 of 1,135
Median peer was paid$200K
This provider vs. median0.2×
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 | 38 | $596.00 | |
| 2019 | 1,279 | $21K | |
| 2020 | 864 | $13K | |
| 2021 | 402 | $4K | |
| 2022 | 336 | $4K | |
| 2023 | 42 | $170.10 | |
| 2024incomplete | 31 | $819.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 293 | 287 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 143 | 143 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 1,333 | 368 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 402 | 347 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 389 | 381 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.2% | 105 | 96 | $4K |
| D9430 | 5.2% | 72 | 52 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 47 | 47 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 29 | 29 | $2K |
| D0330 | Panoramic radiographic image | 3.8% | 58 | 58 | $2K |
| D1351 | Sealant - per tooth | 2.5% | 49 | 13 | $1K |
| D0350 | 2.0% | 72 | 44 | $873.60 |
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 officialSHARAFI, SOUDABEH (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Soudabeh Sharafi DMD INC. | Escondido, CA | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.