Dental
Kaou Hallak Dental Corp
Kaou Hallak Dental Corp was paid $8.70M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 22% of everything it billed.
33Billing provider infoKAOU HALLAK DENTAL CORP
CLOVIS, CA 93611
CLOVIS, CA 93611
33aNPI1629452560assigned 07/09/2015
33bProvider typeDentist
28Total paid$8.70M
24GClaims125,755
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#54 of 2,314
Median peer was paid$185K
This provider vs. median47×
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 | 16,163 | $890K | |
| 2019 | 18,252 | $1.27M | |
| 2020 | 15,766 | $916K | |
| 2021 | 15,912 | $908K | |
| 2022 | 18,626 | $1.29M | |
| 2023 | 21,622 | $1.85M | |
| 2024incomplete | 19,414 | $1.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 22% | 4,095 | 3,699 | $1.89M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19% | 14,399 | 6,207 | $1.68M |
| D2740 | Crown - porcelain/ceramic | 13% | 2,383 | 1,799 | $1.13M |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 16,164 | 16,117 | $1.02M |
| D7240 | Removal of impacted tooth - completely bony | 5.4% | 2,036 | 869 | $466K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 7,308 | 7,277 | $330K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 6,139 | 6,117 | $310K |
| D3320 | 2.7% | 635 | 561 | $232K | |
| D2954 | 2.5% | 2,110 | 1,662 | $214K | |
| D1110 | Prophylaxis - adult | 2.3% | 2,342 | 2,328 | $196K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 5,083 | 5,059 | $196K |
| D7230 | 1.9% | 899 | 501 | $169K |
20 more codes
| D0330 | Panoramic radiographic image | 1.9% | 5,571 | $165K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 35,917 | $148K |
| D0274 | Bitewings - four radiographic images | 1.1% | 4,691 | $97K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,825 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,117 | $64K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 732 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,345 | $55K |
| D1206 | Topical application of fluoride varnish | <1% | 4,154 | $48K |
| D3310 | <1% | 149 | $45K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 338 | $22K |
| D1310 | <1% | 486 | $22K | |
| D1351 | Sealant - per tooth | <1% | 986 | $21K |
| D2394 | <1% | 224 | $19K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,404 | $16K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 501 | $5K |
| D0601 | <1% | 314 | $5K | |
| D9993 | <1% | 228 | $4K | |
| D2952 | <1% | 20 | $2K | |
| D0602 | <1% | 12 | $165.00 | |
| D1999 | 0% | 148 | $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 officialKAOU, MOHAMED (OWNER)