Dental
Heivi Kim, DDS, INC.
Heivi Kim, DDS, INC. was paid $15.18M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoHEIVI KIM, DDS, INC.
LOS ANGELES, CA 90044
LOS ANGELES, CA 90044
33aNPI1033584669assigned 12/08/2015
33bProvider typeDentist
28Total paid$15.18M
24GClaims541,861
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#22 of 2,314
Median peer was paid$185K
This provider vs. median82×
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 | |
|---|---|---|---|
| 2018 | 44,842 | $1.46M | |
| 2019 | 56,827 | $2.01M | |
| 2020 | 52,118 | $1.42M | |
| 2021 | 82,476 | $2.22M | |
| 2022 | 87,570 | $2.57M | |
| 2023 | 103,893 | $2.75M | |
| 2024incomplete | 114,135 | $2.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 39,906 | 39,772 | $1.67M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 27,047 | 26,964 | $1.65M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.4% | 12,076 | 4,396 | $1.43M |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.3% | 18,747 | 9,525 | $1.26M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.9% | 10,562 | 3,757 | $1.04M |
| D1351 | Sealant - per tooth | 6.4% | 32,583 | 10,855 | $977K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 204,917 | 39,222 | $899K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 18,168 | 17,953 | $719K |
| D1310 | 4.6% | 15,393 | 15,328 | $697K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 40,203 | 40,055 | $655K |
| D2140 | 4.1% | 11,531 | 7,414 | $628K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 9,574 | 9,542 | $618K |
19 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 7,704 | $442K |
| D2330 | 2.4% | 4,690 | $364K | |
| D9993 | 2.4% | 5,735 | $362K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 4,313 | $275K |
| D2160 | 1.8% | 3,335 | $266K | |
| D7111 | 1.6% | 4,304 | $246K | |
| D0274 | Bitewings - four radiographic images | 1.5% | 10,863 | $233K |
| D0272 | Bitewings - two radiographic images | 1.3% | 17,065 | $201K |
| D0350 | 1.3% | 16,939 | $190K | |
| D0603 | 1.1% | 11,713 | $173K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 8,163 | $95K |
| D0601 | <1% | 1,982 | $29K | |
| D1320 | <1% | 2,891 | $23K | |
| D0602 | <1% | 1,016 | $15K | |
| D9430 | <1% | 248 | $8K | |
| D1510 | <1% | 46 | $8K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 115 | $6K |
| D9920 | <1% | 12 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
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 officialKIM, HEIVI MIN RYUNG (OWNER, DDS)