Kalantari, Kyandukhta

Kalantari, Kyandukhta was paid $240K by Medicaid between Jan 2018 and May 2018, across 17 billing codes. Its largest line is D2332, — 41% of everything it billed.

33Billing provider infoKALANTARI, KYANDUKHTA
KENNESAW, GA 30144

33aNPI1780884221assigned 07/23/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$240K

24GClaims3,498

24DCodes billed17

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#18 of 63

Median peer was paid$30K

This provider vs. median7.9×

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

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	3,498	$240K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2332		41%	781	160	$98K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	14%	464	76	$33K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	164	97	$32K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	9.6%	210	78	$23K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.0%	162	57	$14K
D0330	Panoramic radiographic image	3.8%	212	204	$9K
D1110	Prophylaxis - adult	2.1%	207	201	$5K
D0140	Limited oral evaluation - problem focused	1.9%	188	169	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.7%	236	233	$4K
D0274	Bitewings - four radiographic images	1.7%	165	162	$4K
D1120	Dental cleaning, childProphylaxis - child	1.6%	157	154	$4K
D0150	Comprehensive oral evaluation - new or established patient	1.4%	152	151	$3K

5 more codes

D1208	Topical application of fluoride, excluding varnish	<1%	147	$2K
D0220	Intraoral - periapical first radiographic image	<1%	109	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	81	$946.68
D0272	Bitewings - two radiographic images	<1%	33	$509.26
D0210	Intraoral - complete series of radiographic images	<1%	30	$385.85

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.