Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mana Kafaei DDS, INC.

Mana Kafaei DDS, INC. was paid $356K by Medicaid between Oct 2020 and Dec 2024, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.

33Billing provider infoMANA KAFAEI DDS, INC.
CHINO HILLS, CA 91709
33aNPI1205488111assigned 07/10/2019
33bProvider typeDental Clinic/Center
28Total paid$356K
24GClaims15,873
24DCodes billed17
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#447 of 1,135
Median peer was paid$200K
This provider vs. median1.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202054$3K
20211,379$48K
20223,404$84K
20234,462$87K
2024incomplete6,574$135K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 29% 1,552 1,550 $102K
D0350 17% 6,301 1,637 $59K
D0210 Intraoral - complete series of radiographic images 13% 945 944 $45K
D9430 7.7% 850 730 $27K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.2% 278 277 $22K
D0330 Panoramic radiographic image 6.0% 713 712 $21K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.7% 250 106 $17K
D1320 4.0% 963 961 $14K
D0230 Intraoral - periapical each additional radiographic image 3.6% 3,145 869 $13K
D1110 Prophylaxis - adult 2.3% 92 92 $8K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 1.6% 12 12 $6K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.5% 46 25 $5K
5 more codes
D0274 Bitewings - four radiographic images 1.4% 242 $5K
D1206 Topical application of fluoride varnish 1.4% 296 $5K
D1120 Dental cleaning, child 1.2% 85 $4K
D1208 Topical application of fluoride, excluding varnish <1% 89 $1K
D0220 Intraoral - periapical first radiographic image <1% 14 $168.00

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 officialKAFAEI, MANA (PRESIDENT)