Clinic
Louis M Kim, a Professional Dental Corporation
Louis M Kim, a Professional Dental Corporation was paid $6K by Medicaid between Aug 2018 and Jul 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoLOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
33aNPI1104336478assigned 10/02/2017
33bProvider typeDental Clinic/Center
28Total paid$6K
24GClaims5,394
24DCodes billed16
24AFirst – last monthAug 2018 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,019 of 1,135
Median peer was paid$200K
This provider vs. median0.0×
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 | 16 | $915.50 | |
| 2020 | 431 | $0.00 | |
| 2021 | 2,426 | $0.00 | |
| 2022 | 1,086 | $0.00 | |
| 2023 | 1,116 | $2K | |
| 2024incomplete | 319 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 984 | 941 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 16 | 16 | $915.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 1,339 | 1,081 | $482.52 |
| D0274 | Bitewings - four radiographic images | 5.8% | 411 | 406 | $328.07 |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 246 | 178 | $278.52 |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 880 | 845 | $226.16 |
| D1110 | Prophylaxis - adult | 3.6% | 408 | 393 | $205.80 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 374 | 346 | $92.50 |
| D0272 | Bitewings - two radiographic images | <1% | 237 | 226 | $2.00 |
| D1310 | 0% | 23 | 12 | $0.00 | |
| D1330 | 0% | 14 | 14 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 14 | 13 | $0.00 |
4 more codes
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, LOUIS (OWNER/DENTIST)
Parent organizationLOUIS KIM DDS INC.
| Provider | Location | Paid |
|---|---|---|
| Louis Kim DDS INC. | Sacramento, CA | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.