Dental
Kalantari, Mikaeya
Kalantari, Mikaeya was paid $12K by Medicaid between Jan 2018 and Mar 2018, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoKALANTARI, MIKAEYA
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1609188994assigned 07/02/2010
33bProvider typePediatric Dentist
28Total paid$12K
24GClaims663
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#282 of 332
Median peer was paid$450K
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 | 663 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 108 | 94 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 135 | 120 | $3K |
| D1206 | Topical application of fluoride varnish | 17% | 134 | 122 | $2K |
| D0272 | Bitewings - two radiographic images | 8.8% | 56 | 51 | $1K |
| D0274 | Bitewings - four radiographic images | 6.2% | 27 | 26 | $727.00 |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 69 | 58 | $649.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 80 | 23 | $580.00 |
| D1110 | Prophylaxis - adult | 4.6% | 14 | 14 | $541.00 |
| D0330 | Panoramic radiographic image | 3.7% | 15 | 14 | $434.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 13 | 12 | $367.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 12 | 12 | $240.00 |
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.