Dental
M. Saleh Kholaki D.D.S, INC.
M. Saleh Kholaki D.D.S, INC. was paid $750.00 by Medicaid between Jan 2018 and Jan 2020, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 56% of everything it billed.
33Billing provider infoM. SALEH KHOLAKI D.D.S, INC.
MONROVIA, CA 91016
MONROVIA, CA 91016
33aNPI1568834232assigned 10/21/2015
33bProvider typeDentist
28Total paid$750.00
24GClaims24
24DCodes billed2
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,185 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 12 | $420.00 | |
| 2020 | 12 | $330.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 56% | 12 | 12 | $420.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 12 | 12 | $330.00 |
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 officialKHOLAKI, MOHAMAD (OWNER)