Clinic
S M Kiwan, DDS, INC
S M Kiwan, DDS, INC was paid $774K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoS M KIWAN, DDS, INC
FRESNO, CA 93726
FRESNO, CA 93726
33aNPI1790034700assigned 09/05/2012
33bProvider typeDental Clinic/Center
28Total paid$774K
24GClaims34,202
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#286 of 1,135
Median peer was paid$200K
This provider vs. median3.9×
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 | 5,128 | $84K | |
| 2019 | 5,746 | $129K | |
| 2020 | 3,401 | $58K | |
| 2021 | 4,937 | $101K | |
| 2022 | 4,172 | $91K | |
| 2023 | 5,569 | $143K | |
| 2024incomplete | 5,249 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,405 | 2,395 | $125K |
| D9430 | 13% | 3,049 | 2,760 | $97K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,524 | 1,520 | $96K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 745 | 323 | $87K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 1,987 | 1,982 | $73K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 1,458 | 1,452 | $67K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.4% | 14,429 | 4,491 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 2,423 | 2,231 | $28K |
| D1110 | Prophylaxis - adult | 3.5% | 312 | 312 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 2,229 | 2,226 | $23K |
| D4910 | 2.7% | 281 | 281 | $21K | |
| D0272 | Bitewings - two radiographic images | 2.1% | 1,419 | 1,415 | $16K |
8 more codes
| D0274 | Bitewings - four radiographic images | 1.3% | 492 | $10K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 151 | $10K |
| D1320 | 1.2% | 625 | $9K | |
| D1206 | Topical application of fluoride varnish | <1% | 495 | $7K |
| D2740 | Crown - porcelain/ceramic | <1% | 15 | $7K |
| D4341 | <1% | 88 | $6K | |
| D2160 | <1% | 63 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 12 | $360.00 |
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 officialKIWAN, SALEEM (PROVIDER/OWNER/PRESIDENT)