Clinic
Michael Kim DDS, PC
Michael Kim DDS, PC was paid $17K by Medicaid between Apr 2019 and Nov 2019, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 47% of everything it billed.
33Billing provider infoMICHAEL KIM DDS, PC
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1134698467assigned 11/15/2018
33bProvider typeDental Clinic/Center
28Total paid$17K
24GClaims309
24DCodes billed5
24AFirst – last monthApr 2019 – Nov 2019
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#919 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 309 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 47% | 118 | 118 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 23% | 78 | 78 | $4K |
| D1110 | Prophylaxis - adult | 15% | 28 | 28 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 35 | 12 | $2K |
| D1206 | Topical application of fluoride varnish | 4.3% | 50 | 50 | $706.00 |
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, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Grubbs Pharmacy of DC INC | Washington, DC | $935K |
| Skin Aesthetic Medical, INC | Los Angeles, CA | $246K |
| Michael D Kim MD PC | Fairfax, VA | $209K |
| Michael K. Kim, M.D., a Professional Corporation | Los Alamitos, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.