Clinic
K. Fan D.D.S., INC.
K. Fan D.D.S., INC. was paid $323K by Medicaid between Oct 2019 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoK. FAN D.D.S., INC.
MONTEREY PARK, CA 91754
MONTEREY PARK, CA 91754
33aNPI1518424746assigned 02/25/2019
33bProvider typeDental Clinic/Center
28Total paid$323K
24GClaims8,198
24DCodes billed13
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#464 of 1,135
Median peer was paid$200K
This provider vs. median1.6×
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 | 378 | $14K | |
| 2020 | 757 | $34K | |
| 2021 | 882 | $33K | |
| 2022 | 1,747 | $71K | |
| 2023 | 2,182 | $83K | |
| 2024incomplete | 2,252 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,068 | 1,064 | $95K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 800 | 796 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 646 | 646 | $50K |
| D4910 | 12% | 497 | 494 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | 11% | 730 | 726 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,182 | 1,178 | $17K |
| D0274 | Bitewings - four radiographic images | 4.4% | 668 | 667 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 1,898 | 1,062 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 136 | 136 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 393 | 374 | $5K |
| D1351 | Sealant - per tooth | <1% | 96 | 15 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 66 | 66 | $819.50 |
1 more codes
| D9430 | <1% | 18 | $576.00 |
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 officialFAN, KEVIN (OWNER DENTIST)