YOUNG RAE KIM DENTAL CORP
NPI: 1093123770
· ANAHEIM, CA 92805
· General Practice Dentistry
· NPI assigned 07/25/2014
$520K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, YOUNG RAE (CEO) |
| NPI Enumeration Date | 07/25/2014 |
Related Entities
Other providers sharing the same authorized official: KIM, YOUNG RAE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,243 |
$50K |
| 2019 |
4,507 |
$54K |
| 2020 |
3,825 |
$63K |
| 2021 |
4,508 |
$80K |
| 2022 |
5,011 |
$101K |
| 2023 |
4,600 |
$89K |
| 2024 |
4,278 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,182 |
2,168 |
$124K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,191 |
647 |
$79K |
| D0230 |
Intraoral - periapical each additional radiographic image |
17,315 |
2,440 |
$75K |
| D1120 |
Prophylaxis - child |
1,884 |
1,866 |
$72K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,179 |
532 |
$64K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,560 |
2,538 |
$31K |
| D0272 |
Bitewings - two radiographic images |
2,214 |
2,193 |
$26K |
| D0350 |
|
2,002 |
852 |
$19K |
| D1110 |
Prophylaxis - adult |
225 |
222 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
182 |
182 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$1K |
| D9430 |
|
12 |
12 |
$384.00 |