Dental
Antranig Kelleyan
Antranig Kelleyan was paid $15K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoANTRANIG KELLEYAN
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1659653970assigned 09/13/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims552
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,094 of 2,668
Median peer was paid$173K
This provider vs. median0.1×
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 | 266 | $5K | |
| 2019 | 220 | $5K | |
| 2021 | 29 | $2K | |
| 2022 | 13 | $862.00 | |
| 2024incomplete | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 197 | 196 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 68 | 68 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 107 | 107 | $2K |
| D0330 | Panoramic radiographic image | 8.1% | 62 | 62 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 24 | 24 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 69 | 69 | $620.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 25 | 12 | $71.40 |
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 officialKELLEYAN, ANTRANIG (OWNER DENTIST)