Clinic
Kayla Koo DDS INC
Kayla Koo DDS INC was paid $760K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoKAYLA KOO DDS INC
COMMERCE, CA 90022
COMMERCE, CA 90022
33aNPI1174990287assigned 08/24/2015
33bProvider typeDental Clinic/Center
28Total paid$760K
24GClaims27,985
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#289 of 1,135
Median peer was paid$200K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2018 | 4,631 | $111K | |
| 2019 | 3,501 | $85K | |
| 2020 | 2,507 | $55K | |
| 2021 | 3,596 | $82K | |
| 2022 | 4,362 | $136K | |
| 2023 | 4,869 | $148K | |
| 2024incomplete | 4,519 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 3,151 | 3,131 | $181K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,855 | 2,834 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,388 | 1,380 | $84K |
| D0274 | Bitewings - four radiographic images | 7.5% | 2,814 | 2,800 | $57K |
| D1206 | Topical application of fluoride varnish | 7.4% | 4,098 | 4,075 | $56K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 1,206 | 1,199 | $55K |
| D1110 | Prophylaxis - adult | 7.1% | 634 | 629 | $54K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 8,442 | 3,930 | $33K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 371 | 201 | $25K |
| D1351 | Sealant - per tooth | 3.1% | 797 | 221 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 285 | 99 | $15K |
| D0330 | Panoramic radiographic image | 1.8% | 474 | 473 | $14K |
10 more codes
| D9430 | 1.8% | 449 | $14K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 224 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 118 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 45 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 347 | $4K |
| D4910 | <1% | 48 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 175 | $2K |
| D0340 | <1% | 28 | $1K | |
| D2140 | <1% | 21 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $420.00 |
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 officialKOO, KAYLA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kayla Koo Dental Group, INC | Los Angeles, CA | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.