Dental
Kalantari DDS Dental Corporation
Kalantari DDS Dental Corporation was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoKALANTARI DDS DENTAL CORPORATION
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1548653249assigned 03/05/2015
33bProvider typeDentist
28Total paid$1.55M
24GClaims47,452
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#350 of 2,314
Median peer was paid$185K
This provider vs. median8.4×
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 | 3,409 | $111K | |
| 2019 | 3,840 | $124K | |
| 2020 | 5,477 | $140K | |
| 2021 | 7,408 | $189K | |
| 2022 | 8,618 | $253K | |
| 2023 | 7,965 | $254K | |
| 2024incomplete | 10,735 | $484K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 3,230 | 1,185 | $213K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,058 | 3,049 | $184K |
| D1110 | Prophylaxis - adult | 10% | 1,838 | 1,829 | $157K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 2,243 | 2,238 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.6% | 2,472 | 852 | $133K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 3,159 | 3,152 | $125K |
| D2740 | Crown - porcelain/ceramic | 6.6% | 217 | 145 | $103K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 17,181 | 3,972 | $80K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 1,552 | 1,548 | $73K |
| D1206 | Topical application of fluoride varnish | 4.7% | 4,862 | 4,846 | $72K |
| D0274 | Bitewings - four radiographic images | 3.1% | 2,273 | 2,266 | $48K |
| D9430 | 2.5% | 1,243 | 1,202 | $40K |
18 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.8% | 241 | $28K |
| D4341 | 1.7% | 371 | $26K | |
| D2954 | 1.4% | 205 | $22K | |
| D1351 | Sealant - per tooth | 1.4% | 702 | $22K |
| D1310 | 1.2% | 413 | $19K | |
| D9993 | 1.1% | 257 | $17K | |
| D4910 | <1% | 181 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 861 | $10K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 17 | $8K |
| D0330 | Panoramic radiographic image | <1% | 193 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 78 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 239 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 47 | $3K |
| D2330 | <1% | 24 | $2K | |
| D0603 | <1% | 111 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 134 | $1K |
| D0602 | <1% | 38 | $570.00 | |
| D0270 | <1% | 12 | $60.00 |
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 officialREZAEI KALANTARI, DANIAL (CEO)