Dental
Fan, Kevin
Fan, Kevin was paid $225K by Medicaid between Jan 2018 and Aug 2018, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoFAN, KEVIN
MONTEREY PARK, CA 91754
MONTEREY PARK, CA 91754
33aNPI1629215660assigned 01/13/2009
33bProvider typeDentist
28Total paid$225K
24GClaims10,131
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,085 of 2,314
Median peer was paid$185K
This provider vs. median1.2×
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 | 10,131 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 1,621 | 1,604 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,639 | 1,618 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,519 | 1,502 | $39K |
| D1351 | Sealant - per tooth | 11% | 542 | 226 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 1,668 | 1,523 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 1,596 | 1,565 | $9K |
| D0274 | Bitewings - four radiographic images | 3.7% | 491 | 481 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 245 | 239 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 269 | 263 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 183 | 180 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 137 | 134 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 221 | 219 | $2K |
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.