Medicaid Provider Spending

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

KALYANI DDS INC

NPI: 1255839668 · CHINO HILLS, CA 91709 · General Practice Dentistry · NPI assigned 01/31/2018

$55K
Total Medicaid Paid
4,751
Total Claims
1,646
Beneficiaries
13
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKALYANI, HARSH (CEO)
Parent OrganizationKALYANI DDS INC
NPI Enumeration Date01/31/2018

Related Entities

Other providers sharing the same authorized official: KALYANI, HARSH

ProviderCityStateTotal Paid
KALYANI DDS INC RIVERSIDE CA $481K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 175 $3K
2019 169 $3K
2020 491 $4K
2021 870 $10K
2022 1,030 $12K
2023 1,084 $14K
2024 932 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 3,692 625 $15K
D0120 Periodic oral evaluation - established patient 170 169 $13K
D0150 Comprehensive oral evaluation - new or established patient 127 125 $7K
D1206 Topical application of fluoride varnish 320 320 $5K
D1120 Prophylaxis - child 92 92 $4K
D9430 96 85 $3K
D4910 36 36 $3K
D0210 Intraoral - complete series of radiographic images 49 49 $2K
D1110 Prophylaxis - adult 24 24 $2K
D0274 Bitewings - four radiographic images 37 37 $777.60
D1208 Topical application of fluoride, excluding varnish 59 57 $503.00
D0350 35 13 $355.20
D0220 Intraoral - periapical first radiographic image 14 14 $168.00