Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JUAN CAPISTRANO › MICHAEL KIM DDS, PC

MICHAEL KIM DDS, PC

NPI: 1134698467 · SAN JUAN CAPISTRANO, CA 92675 · Dental Clinic/Center · NPI assigned 11/15/2018

$17K
Total Medicaid Paid
309
Total Claims
286
Beneficiaries
5
Codes Billed
2019-04
First Month
2019-11
Last Month

Provider Details

Authorized OfficialKIM, MICHAEL (PRESIDENT)
NPI Enumeration Date11/15/2018

Related Entities

Other providers sharing the same authorized official: KIM, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 309 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 118 118 $8K
D0210 Intraoral - complete series of radiographic images 78 78 $4K
D1110 Prophylaxis - adult 28 28 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 35 12 $2K
D1206 Topical application of fluoride varnish 50 50 $706.00