Dental
Ktam DDS Dental Corp
Ktam DDS Dental Corp was paid $83K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoKTAM DDS DENTAL CORP
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1609181858assigned 08/12/2010
33bProvider typePediatric Dentist
28Total paid$83K
24GClaims4,442
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#240 of 332
Median peer was paid$450K
This provider vs. median0.2×
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 | 1,688 | $26K | |
| 2019 | 1,156 | $21K | |
| 2020 | 616 | $11K | |
| 2021 | 604 | $11K | |
| 2022 | 378 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 832 | 832 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 820 | 820 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 758 | 758 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 1,541 | 817 | $7K |
| D0274 | Bitewings - four radiographic images | 6.3% | 256 | 256 | $5K |
| D0272 | Bitewings - two radiographic images | 1.1% | 86 | 86 | $946.00 |
| D0603 | 0% | 46 | 46 | $0.00 | |
| D0602 | 0% | 103 | 103 | $0.00 |
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 officialTAM, KEITH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Keith H Tam DDS INC | Newport Beach, CA | $43K |
| Tam & Cottrell Dental Partnership | Santa Maria, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.