KOHLI DDS INC
NPI: 1891103214
· SAN LORENZO, CA 94580
· General Practice Dentistry
· NPI assigned 07/29/2014
$178K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KOHLI, GAGANDEEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
668 |
$11K |
| 2019 |
309 |
$4K |
| 2020 |
513 |
$14K |
| 2021 |
846 |
$22K |
| 2022 |
1,317 |
$47K |
| 2023 |
1,270 |
$46K |
| 2024 |
976 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,006 |
1,005 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
725 |
725 |
$47K |
| D0210 |
Intraoral - complete series of radiographic images |
433 |
431 |
$20K |
| D1120 |
Prophylaxis - child |
290 |
289 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
823 |
822 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,823 |
938 |
$7K |
| D1110 |
Prophylaxis - adult |
51 |
51 |
$4K |
| D0274 |
Bitewings - four radiographic images |
221 |
221 |
$4K |
| D0350 |
|
333 |
192 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
145 |
141 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
12 |
$1K |
| D1999 |
|
27 |
25 |
$0.00 |