Dental
Kavety DDS INC
Kavety DDS INC was paid $1.49M by Medicaid between Sep 2019 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoKAVETY DDS INC
PASADENA, CA 91107
PASADENA, CA 91107
33aNPI1366935637assigned 06/12/2018
33bProvider typePediatric Dentist
28Total paid$1.49M
24GClaims57,343
24DCodes billed29
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#109 of 332
Median peer was paid$450K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 250 | $3K | |
| 2020 | 1,706 | $37K | |
| 2021 | 4,607 | $106K | |
| 2022 | 11,262 | $286K | |
| 2023 | 17,266 | $451K | |
| 2024incomplete | 22,252 | $608K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 5,893 | 5,860 | $283K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,978 | 2,959 | $204K |
| D1310 | 11% | 3,806 | 3,791 | $171K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 1,724 | 1,720 | $119K |
| D1351 | Sealant - per tooth | 5.6% | 2,278 | 696 | $83K |
| D1206 | Topical application of fluoride varnish | 4.5% | 3,391 | 3,364 | $67K |
| D0145 | Oral evaluation for a patient under three years of age | 4.4% | 955 | 952 | $66K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 15,957 | 4,996 | $65K |
| D9430 | 3.3% | 1,573 | 1,464 | $50K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 748 | 463 | $49K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 1,235 | 1,164 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 2,122 | 2,113 | $49K |
17 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 3,527 | $40K |
| D0603 | 2.4% | 2,456 | $36K | |
| D0350 | 1.9% | 2,936 | $29K | |
| D9993 | 1.9% | 515 | $28K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 445 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,749 | $21K |
| D0601 | <1% | 956 | $14K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 216 | $12K |
| D1354 | <1% | 1,198 | $10K | |
| D0340 | <1% | 83 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 138 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 29 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 165 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 96 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 15 | $1K |
| D0270 | <1% | 54 | $265.00 | |
| D1999 | <1% | 105 | $46.00 |
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 officialKAVETY, PALLAVI (PEDIATRIC DENTIST)