Priyawat and Kim Dental Services

Priyawat and Kim Dental Services was paid $10K by Medicaid between Mar 2022 and Jun 2023, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 57% of everything it billed.

33Billing provider infoPRIYAWAT AND KIM DENTAL SERVICES
CHINO HILLS, CA 91709

33aNPI1801461561assigned 05/25/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims200

24DCodes billed3

24AFirst – last monthMar 2022 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,181 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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
2022	88	$5K
2023	112	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	57%	89	89	$6K
D0210	Intraoral - complete series of radiographic images	29%	61	61	$3K
D0330	Panoramic radiographic image	14%	50	50	$1K

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 officialBANNATZ, CARRICK (OFFICE MANAGER)