Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Westlake Village › NPI 1750800199
Dental

Jan, Kevin

Jan, Kevin was paid $541K by Medicaid between Aug 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.

33Billing provider infoJAN, KEVIN
WESTLAKE VILLAGE, CA 91362
33aNPI1750800199assigned 09/18/2017
33bProvider typeDentist
28Total paid$541K
24GClaims14,108
24DCodes billed16
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#756 of 2,314
Median peer was paid$185K
This provider vs. median2.9×

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$20K2018201920202021202220232024
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
2018111$5K
2019760$37K
20201,064$46K
20211,508$65K
20222,878$109K
20233,702$139K
2024incomplete4,085$140K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 1,531 1,518 $110K
D1110 Prophylaxis - adult 18% 1,121 1,114 $99K
D0150 Comprehensive oral evaluation - new or established patient 15% 1,244 1,242 $82K
D4910 9.6% 681 680 $52K
D0210 Intraoral - complete series of radiographic images 9.5% 1,101 1,098 $52K
D1120 Dental cleaning, childProphylaxis - child 9.1% 1,092 1,081 $49K
D1208 Topical application of fluoride, excluding varnish 5.1% 1,910 1,897 $27K
D9430 3.5% 587 534 $19K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.2% 267 170 $18K
D0230 Intraoral - periapical each additional radiographic image 2.4% 3,172 785 $13K
D1206 Topical application of fluoride varnish 1.4% 515 514 $8K
D0274 Bitewings - four radiographic images 1.2% 310 310 $6K
4 more codes
D4341 <1% 52 $4K
D0220 Intraoral - periapical first radiographic image <1% 186 $2K
D0350 <1% 320 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 19 $982.80

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.