Dental
Edalat Pajouh S Kalai Dental Corp
Edalat Pajouh S Kalai Dental Corp was paid $21K by Medicaid between Feb 2020 and Dec 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoEDALAT PAJOUH S KALAI DENTAL CORP
CANOGA PARK, CA 91303
CANOGA PARK, CA 91303
33aNPI1205908795assigned 11/14/2006
33bProvider typeDentist
28Total paid$21K
24GClaims916
24DCodes billed8
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,749 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 24 | $2K | |
| 2022 | 224 | $6K | |
| 2023 | 478 | $10K | |
| 2024incomplete | 190 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 115 | 115 | $8K |
| D4910 | 24% | 66 | 66 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | 13% | 61 | 61 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 524 | 110 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 94 | 94 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 16 | 16 | $1K |
| D9430 | 4.1% | 27 | 24 | $864.00 | |
| D0274 | Bitewings - four radiographic images | 1.3% | 13 | 13 | $280.80 |
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 officialKALAI, KAMBIZ (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Kalai S Sadighim Dental Corporation | Huntington Park, CA | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.