Dental
Kouz and Bato Dental Partnership
Kouz and Bato Dental Partnership was paid $122K by Medicaid between Jan 2018 and Jan 2023, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoKOUZ AND BATO DENTAL PARTNERSHIP
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1346258308assigned 08/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$122K
24GClaims4,004
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,467 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | 1,780 | $48K | |
| 2019 | 1,485 | $53K | |
| 2020 | 351 | $10K | |
| 2021 | 362 | $9K | |
| 2022 | 12 | $870.00 | |
| 2023 | 14 | $805.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 822 | 821 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 404 | 404 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 348 | 348 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 507 | 503 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 173 | 102 | $11K |
| D1110 | Prophylaxis - adult | 5.4% | 104 | 102 | $7K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.2% | 45 | 26 | $5K |
| D0274 | Bitewings - four radiographic images | 3.9% | 236 | 235 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 91 | 51 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 1,022 | 552 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 188 | 185 | $2K |
| D9430 | <1% | 13 | 13 | $416.00 |
2 more codes
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 officialKOUZ, RAMI (GENERAL PARTNER)