Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RICK T KIM DDS INC

NPI: 1003078627 · BELLFLOWER, CA 90706 · General Practice Dentistry · NPI assigned 06/25/2008

$93K
Total Medicaid Paid
6,758
Total Claims
5,731
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIM, RICK (CEO)
Parent OrganizationRICK T KIM DDS INC
NPI Enumeration Date06/25/2008

Related Entities

Other providers sharing the same authorized official: KIM, RICK

ProviderCityStateTotal Paid
RICK T KIM DDS INC MORENO VALLEY CA $1.06M
RICK T. KIM DDS INC. CORONA CA $89K
RICK T KIM DDS INC ONTARIO CA $72K
RICK T KIM DDS INC LYNWOOD CA $4K
RICK T KIM A PROFESSIONAL DENTAL CORP LAKEWOOD CA $3K
RICK T. KIM DDS. INC. MONTEBELLO CA $25.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,556 $14K
2019 1,213 $12K
2020 895 $11K
2021 1,121 $16K
2022 774 $13K
2023 711 $15K
2024 488 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 828 793 $30K
D0150 Comprehensive oral evaluation - new or established patient 464 442 $19K
D1120 Prophylaxis - child 576 538 $14K
D0274 Bitewings - four radiographic images 862 826 $9K
D0210 Intraoral - complete series of radiographic images 316 301 $8K
D0230 Intraoral - periapical each additional radiographic image 1,831 1,053 $4K
D1110 Prophylaxis - adult 43 43 $3K
D1206 Topical application of fluoride varnish 144 135 $3K
D0220 Intraoral - periapical first radiographic image 396 387 $2K
D9430 140 112 $627.00
D1208 Topical application of fluoride, excluding varnish 29 25 $202.00
D1999 176 166 $120.00
D1330 953 910 $0.00