KENNY YOUNG KIM DDS INC
NPI: 1033664172
· LAKEWOOD, CA 90715
· Dentist
· NPI assigned 08/18/2016
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, KENNY (PRESIDENT) |
| NPI Enumeration Date | 08/18/2016 |
Related Entities
Other providers sharing the same authorized official: KIM, KENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
456 |
$5K |
| 2019 |
1,057 |
$9K |
| 2020 |
1,375 |
$16K |
| 2021 |
1,701 |
$22K |
| 2022 |
1,853 |
$28K |
| 2023 |
1,608 |
$25K |
| 2024 |
1,163 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
378 |
378 |
$33K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,683 |
1,128 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
319 |
319 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
222 |
222 |
$13K |
| D0274 |
Bitewings - four radiographic images |
615 |
615 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
828 |
825 |
$11K |
| D1320 |
|
141 |
141 |
$2K |
| D4910 |
|
12 |
12 |
$924.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$787.50 |