Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › LUTHERVILLE › DONG S KIM DMD, PC

DONG S KIM DMD, PC

NPI: 1033213491 · LUTHERVILLE, MD 21093 · Dentist · NPI assigned 09/07/2006

$67K
Total Medicaid Paid
1,513
Total Claims
1,479
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIM, DONG (PRESIDENT)
NPI Enumeration Date09/07/2006

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
PINE DENTAL PC FITCHBURG MA $16K
LEE AND KIM DENTAL CORPORATION ARTESIA CA $10K
DONG S. KIM, M.D., INC MORENO VALLEY CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 849 $36K
2024 664 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 572 562 $37K
D0120 Periodic oral evaluation - established patient 335 333 $11K
D0150 Comprehensive oral evaluation - new or established patient 195 186 $10K
D0274 Bitewings - four radiographic images 368 359 $9K
D0220 Intraoral - periapical first radiographic image 43 39 $394.00