NPI: 1043911571 · LAKE FOREST, CA 92630 · Dental Clinic/Center · NPI assigned 03/13/2023
| Authorized Official | KIM, SEAN (CEO) |
| NPI Enumeration Date | 03/13/2023 |
Other providers sharing the same authorized official: KIM, SEAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LINDENHURST STATION DENTAL | LINDENHURST | NY | $293K |
| DR. SEAN KIM DDS MD PLLC | HOUSTON | TX | $173K |
| COOPERCRWN NJ | PALISADES PARK | NJ | $32K |
| SEAN KIM DDS PC | FREDERICKSBURG | VA | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 340 | $8K |
| 2024 | 5,499 | $189K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 637 | 637 | $42K | |
| D2751 | 68 | 46 | $32K | |
| D1120 | 423 | 423 | $22K | |
| D1110 | 178 | 178 | $16K | |
| D2391 | 256 | 96 | $14K | |
| D1206 | 657 | 657 | $11K | |
| D1351 | 254 | 66 | $9K | |
| D0210 | 174 | 174 | $8K | |
| D0274 | 344 | 344 | $7K | |
| D9430 | 225 | 218 | $7K | |
| D0350 | 743 | 248 | $7K | |
| D0230 | 1,562 | 567 | $6K | |
| D0120 | 115 | 114 | $6K | |
| D2392 | 68 | 30 | $5K | |
| D2954 | 19 | 13 | $2K | |
| D0272 | 102 | 102 | $1K | |
| D0330 | 14 | 14 | $420.00 |