Dental
Mikaeya Kalantari Dental Corporation
Mikaeya Kalantari Dental Corporation was paid $337K by Medicaid between Jul 2019 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoMIKAEYA KALANTARI DENTAL CORPORATION
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1124509989assigned 08/28/2018
33bProvider typePediatric Dentist
28Total paid$337K
24GClaims10,926
24DCodes billed14
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#185 of 332
Median peer was paid$450K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 89 | $4K | |
| 2020 | 900 | $25K | |
| 2021 | 1,942 | $59K | |
| 2022 | 2,289 | $75K | |
| 2023 | 2,809 | $87K | |
| 2024incomplete | 2,897 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,536 | 1,531 | $102K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 2,009 | 2,006 | $90K |
| D1310 | 15% | 1,089 | 1,088 | $49K | |
| D1206 | Topical application of fluoride varnish | 8.8% | 1,707 | 1,703 | $30K |
| D9993 | 6.0% | 334 | 334 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 217 | 217 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 2,818 | 968 | $12K |
| D0603 | 2.0% | 468 | 467 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 503 | 499 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 38 | 24 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 63 | 56 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 118 | 118 | $1K |
2 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 officialKALANTARI, MIKAEYA (CEO)