Dental
Kiyomi Yamazaki, DDS, INC
Kiyomi Yamazaki, DDS, INC was paid $683K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoKIYOMI YAMAZAKI, DDS, INC
GARDENA, CA 90247
GARDENA, CA 90247
33aNPI1487987582assigned 09/09/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$683K
24GClaims37,412
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#743 of 2,668
Median peer was paid$173K
This provider vs. median4.0×
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 | 5,961 | $91K | |
| 2019 | 5,407 | $84K | |
| 2020 | 4,532 | $62K | |
| 2021 | 5,161 | $79K | |
| 2022 | 5,196 | $112K | |
| 2023 | 6,236 | $136K | |
| 2024incomplete | 4,919 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 3,506 | 3,494 | $195K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 4,095 | 4,073 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 19,319 | 4,403 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 4,720 | 4,695 | $66K |
| D0274 | Bitewings - four radiographic images | 7.6% | 2,488 | 2,487 | $52K |
| D1310 | 5.6% | 831 | 829 | $38K | |
| D8670 | Periodic orthodontic treatment visit | 4.0% | 103 | 103 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 210 | 210 | $11K |
| D0603 | 1.5% | 677 | 675 | $10K | |
| D9993 | 1.3% | 188 | 188 | $9K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 616 | 615 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 173 | 170 | $7K |
6 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 87 | $6K |
| D1351 | Sealant - per tooth | <1% | 172 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 83 | $4K |
| D1110 | Prophylaxis - adult | <1% | 24 | $2K |
| D0350 | <1% | 94 | $802.80 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | $312.00 |
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 officialYAMAZAKI, KIYOMI (CEO)