Clinic
Kiatkachorn Ratanatharathorn, DDS INC
Kiatkachorn Ratanatharathorn, DDS INC was paid $9K by Medicaid between Jun 2023 and Nov 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 83% of everything it billed.
33Billing provider infoKIATKACHORN RATANATHARATHORN, DDS INC
WEST COVINA, CA 91792
WEST COVINA, CA 91792
33aNPI1891402079assigned 10/27/2022
33bProvider typeDental Clinic/Center
28Total paid$9K
24GClaims164
24DCodes billed3
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#980 of 1,135
Median peer was paid$200K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 51 | $3K | |
| 2024incomplete | 113 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 83% | 108 | 108 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 8.5% | 15 | 15 | $720.00 |
| D1206 | Topical application of fluoride varnish | 8.1% | 41 | 41 | $686.00 |
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 officialRATANATHARATHORN, KIATKACHORN (PRESIDENT)