Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KOHLI PROFESSIONAL DENTAL CORPORATION

NPI: 1124806039 · FREMONT, CA 94538 · Dental Clinic/Center · NPI assigned 09/20/2023

$6K
Total Medicaid Paid
101
Total Claims
101
Beneficiaries
2
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOHLI, GAGANDEEP (PRESIDENT)
NPI Enumeration Date09/20/2023

Related Entities

Other providers sharing the same authorized official: KOHLI, GAGANDEEP

ProviderCityStateTotal Paid
KOHLI DDS INC SAN LORENZO CA $178K
G KOHLI DDS INC OAKLAND CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 101 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 73 73 $5K
D0210 Intraoral - complete series of radiographic images 28 28 $1K