Dental
Khan Ali Dental Corporation
Khan Ali Dental Corporation was paid $4.76M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoKHAN ALI DENTAL CORPORATION
POMONA, CA 91766
POMONA, CA 91766
33aNPI1326466152assigned 03/29/2014
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$4.76M
24GClaims210,320
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#31 of 251
Median peer was paid$303K
This provider vs. median16×
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 | 26,142 | $477K | |
| 2019 | 27,952 | $549K | |
| 2020 | 23,077 | $497K | |
| 2021 | 31,962 | $700K | |
| 2022 | 34,293 | $890K | |
| 2023 | 35,195 | $892K | |
| 2024incomplete | 31,699 | $757K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 13,041 | 12,971 | $754K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 17,966 | 17,865 | $718K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 83,816 | 16,915 | $348K |
| D1351 | Sealant - per tooth | 6.3% | 10,155 | 4,198 | $302K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 18,379 | 18,271 | $278K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 4,022 | 4,007 | $258K |
| D1310 | 5.1% | 5,294 | 5,254 | $241K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 3,541 | 1,806 | $192K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.6% | 2,592 | 1,542 | $173K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 2,682 | 1,696 | $153K |
| D0274 | Bitewings - four radiographic images | 3.2% | 7,183 | 7,143 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 2,146 | 1,198 | $143K |
18 more codes
| D9993 | 2.8% | 2,056 | $132K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.4% | 960 | $113K |
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 1,698 | $103K |
| D0350 | 2.1% | 9,490 | $100K | |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 8,071 | $95K |
| D2140 | 1.8% | 1,592 | $86K | |
| D0340 | 1.5% | 1,432 | $71K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 1,316 | $52K |
| D2330 | 1.1% | 667 | $50K | |
| D0330 | Panoramic radiographic image | <1% | 1,494 | $43K |
| D0602 | <1% | 2,660 | $40K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,150 | $39K |
| D0603 | <1% | 2,593 | $38K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,114 | $37K |
| D9430 | <1% | 1,044 | $33K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 138 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $1K |
| D1110 | Prophylaxis - adult | <1% | 12 | $480.00 |
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 officialKHAN, SHEHZAD (PRESIDENT)