Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Peyman Kafri Dental Corporation

Peyman Kafri Dental Corporation was paid $484K by Medicaid between May 2019 and Oct 2024, across 20 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.

33Billing provider infoPEYMAN KAFRI DENTAL CORPORATION
LANCASTER, CA 93535
33aNPI1619452570assigned 09/26/2018
28Total paid$484K
24GClaims14,180
24DCodes billed20
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#899 of 2,668
Median peer was paid$173K
This provider vs. median2.8×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2019451$31K
2020925$41K
20212,420$87K
20223,062$83K
20234,403$135K
2024incomplete2,919$109K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 18% 1,312 1,312 $86K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 14% 1,049 556 $70K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 855 853 $61K
D0210 Intraoral - complete series of radiographic images 10% 1,024 1,024 $49K
D1110 Prophylaxis - adult 8.4% 454 454 $41K
D1120 Dental cleaning, childProphylaxis - child 7.2% 764 763 $35K
D9430 5.0% 752 669 $24K
D2740 Crown - porcelain/ceramic 4.1% 42 25 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.7% 332 191 $18K
D0230 Intraoral - periapical each additional radiographic image 3.7% 4,437 1,074 $18K
D1208 Topical application of fluoride, excluding varnish 2.9% 938 935 $14K
D0274 Bitewings - four radiographic images 2.8% 635 635 $13K
8 more codes
D0350 2.0% 1,061 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.7% 107 $8K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 1.2% 13 $6K
D4910 1.0% 68 $5K
D4341 <1% 50 $4K
D1206 Topical application of fluoride varnish <1% 190 $2K
D0220 Intraoral - periapical first radiographic image <1% 85 $1K
D0272 Bitewings - two radiographic images <1% 12 $144.00

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 officialKAFRI, PEYMAN (PRESIDENT)