Medicaid Provider Spending

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

YAN KALIKA DENTAL CORPORATION

NPI: 1306314208 · FRESNO, CA 93720 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/08/2018

$28K
Total Medicaid Paid
597
Total Claims
428
Beneficiaries
8
Codes Billed
2019-03
First Month
2021-10
Last Month

Provider Details

Authorized OfficialKALIKA, YAN (PRESIDENT)
Parent OrganizationYAN KALIKA DENTAL CORPORATION
NPI Enumeration Date11/08/2018

Related Entities

Other providers sharing the same authorized official: KALIKA, YAN

ProviderCityStateTotal Paid
YAN KALIKA DENTAL CORPORATION WEST SACRAMENTO CA $11.58M
YAN KALIKA DENTAL CORPORATION CONCORD CA $4.03M
YAN KALIKA DENTAL CORPORATION FAIRFIELD CA $852K
YAN KALIKA DENTAL CORPORATION SANTA ROSA CA $472K
YAN KALIKA DENTAL CORPORATION SAN LEANDRO CA $300K
YAN KALIKA DENTAL CORPORATION NAPA CA $153K
YAN KALIKA DENTAL CORPORATION VALLEJO CA $16K
YAN KALIKA DENTAL CORPORATION CLOVIS CA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 129 $4K
2020 34 $137.70
2021 434 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 146 146 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 125 50 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 100 48 $7K
D0210 Intraoral - complete series of radiographic images 86 86 $4K
D1120 Prophylaxis - child 13 13 $390.00
D1206 Topical application of fluoride varnish 31 31 $334.00
D0230 Intraoral - periapical each additional radiographic image 83 41 $328.05
D0274 Bitewings - four radiographic images 13 13 $259.20