Dental
Tantra Djaya D.D.S INC.
Tantra Djaya D.D.S INC. was paid $532K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoTANTRA DJAYA D.D.S INC.
WHITTIER, CA 90605
WHITTIER, CA 90605
33aNPI1982811725assigned 05/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$532K
24GClaims19,063
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#857 of 2,668
Median peer was paid$173K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 2,872 | $46K | |
| 2019 | 2,142 | $46K | |
| 2020 | 1,905 | $37K | |
| 2021 | 2,764 | $55K | |
| 2022 | 2,938 | $86K | |
| 2023 | 3,071 | $114K | |
| 2024incomplete | 3,371 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 1,509 | 1,490 | $123K |
| D2751 | Crown - porcelain fused to predominantly base metal | 23% | 254 | 164 | $121K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,797 | 1,770 | $83K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,009 | 994 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 9,841 | 2,101 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 794 | 781 | $29K |
| D0272 | Bitewings - two radiographic images | 4.5% | 2,085 | 2,050 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 318 | 318 | $15K |
| D0330 | Panoramic radiographic image | 1.6% | 313 | 306 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 114 | 42 | $8K |
| D1206 | Topical application of fluoride varnish | 1.1% | 588 | 580 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.0% | 47 | 26 | $5K |
5 more codes
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 officialDJAYA, TANTRA (DENTIST)