Dental
Ktle DMD, PC
Ktle DMD, PC was paid $27K by Medicaid between Aug 2024 and Dec 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.
33Billing provider infoKTLE DMD, PC
ONTARIO, CA 91761
ONTARIO, CA 91761
33aNPI1770067001assigned 09/22/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims951
24DCodes billed10
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,959 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 951 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 133 | 133 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 90 | 90 | $4K |
| D0350 | 15% | 421 | 106 | $4K | |
| D4341 | 14% | 55 | 15 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 40 | 15 | $3K |
| D1110 | Prophylaxis - adult | 5.6% | 18 | 18 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 12 | 12 | $630.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 138 | 26 | $558.90 |
| D1206 | Topical application of fluoride varnish | 1.9% | 31 | 31 | $514.00 |
| D0330 | Panoramic radiographic image | 1.4% | 13 | 13 | $390.00 |
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 officialLE, KY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ky Le LLC | Aiea, HI | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.