Medicaid Provider Spending

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

DONG S. KIM, M.D., INC

NPI: 1013027465 · MORENO VALLEY, CA 92557 · Internal Medicine Physician · NPI assigned 08/30/2006

$1K
Total Medicaid Paid
125
Total Claims
114
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialKIM, DONG (OWNER)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: KIM, DONG

ProviderCityStateTotal Paid
DR. DONGWON KIM PC TAUNTON MA $1.53M
DR. DONGWON KIM PC MATTAPAN MA $1.22M
QUABBIN VALLEY DENTAL PC ATHOL MA $1.01M
SHOE CITY FAMILY DENTAL PC HAVERHILL MA $138K
ROCKPORT FAMILY DENTAL PC ROCKPORT MA $92K
SALEM FAMILY DENTAL CARE, P.C. SALEM MA $83K
DONG S KIM DMD, PC LUTHERVILLE MD $67K
PINE DENTAL PC FITCHBURG MA $16K
LEE AND KIM DENTAL CORPORATION ARTESIA CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $1K
2019 53 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 49 $739.71
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 65 $508.81