Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

G KOHLI DDS INC

NPI: 1750800306 · OAKLAND, CA 94611 · Dental Clinic/Center · NPI assigned 09/14/2017

$6K
Total Medicaid Paid
231
Total Claims
215
Beneficiaries
4
Codes Billed
2022-10
First Month
2024-02
Last Month

Provider Details

Authorized OfficialKOHLI, GAGANDEEP (PRESIDENT)
NPI Enumeration Date09/14/2017

Related Entities

Other providers sharing the same authorized official: KOHLI, GAGANDEEP

ProviderCityStateTotal Paid
KOHLI DDS INC SAN LORENZO CA $178K
KOHLI PROFESSIONAL DENTAL CORPORATION FREMONT CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 60 $2K
2023 158 $4K
2024 13 $132.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 43 41 $3K
D0210 Intraoral - complete series of radiographic images 39 37 $2K
D0350 124 112 $1K
D1208 Topical application of fluoride, excluding varnish 25 25 $320.00