LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION
NPI: 1104336478
· SACRAMENTO, CA 95825
· Dental Clinic/Center
· NPI assigned 10/02/2017
Provider Details
| Authorized Official | KIM, LOUIS (OWNER/DENTIST) |
| Parent Organization | LOUIS KIM DDS INC. |
| NPI Enumeration Date | 10/02/2017 |
Related Entities
Other providers sharing the same authorized official: KIM, LOUIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$915.50 |
| 2020 |
431 |
$0.00 |
| 2021 |
2,426 |
$0.00 |
| 2022 |
1,086 |
$0.00 |
| 2023 |
1,116 |
$2K |
| 2024 |
319 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
984 |
941 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$915.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,339 |
1,081 |
$482.52 |
| D0274 |
Bitewings - four radiographic images |
411 |
406 |
$328.07 |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
178 |
$278.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
880 |
845 |
$226.16 |
| D1110 |
Prophylaxis - adult |
408 |
393 |
$205.80 |
| D1120 |
Prophylaxis - child |
374 |
346 |
$92.50 |
| D0272 |
Bitewings - two radiographic images |
237 |
226 |
$2.00 |
| D1310 |
|
23 |
12 |
$0.00 |
| D1330 |
|
14 |
14 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
13 |
$0.00 |
| D0601 |
|
12 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
17 |
13 |
$0.00 |
| D1999 |
|
377 |
273 |
$0.00 |
| D9993 |
|
42 |
40 |
$0.00 |