Herawati T Kandou DDS PA

Herawati T Kandou DDS PA was paid $32K by Medicaid between Jan 2018 and Jan 2021, across 1 billing code. Its largest line is D8670, Periodic orthodontic treatment visit — 100% of everything it billed.

33Billing provider infoHERAWATI T KANDOU DDS PA
ELIZABETH, NJ 07201

33aNPI1871666586assigned 11/17/2006

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$32K

24GClaims750

24DCodes billed1

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New Jersey

Rank by total paid#85 of 114

Median peer was paid$114K

This provider vs. median0.3×

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	319	$23K
2019	301	$6K
2020	117	$3K
2021	13	$430.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	100%	750	749	$32K

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 officialKANDOU, HERAWATI (PRESIDENT ORTHODONTIST)