Dental
Louis Kim DDS INC.
Louis Kim DDS INC. was paid $1.27M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoLOUIS KIM DDS INC.
SACRAMENTO, CA 95824
SACRAMENTO, CA 95824
33aNPI1174761522assigned 01/22/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.27M
24GClaims68,514
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#465 of 2,668
Median peer was paid$173K
This provider vs. median7.4×
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 | 15,997 | $206K | |
| 2019 | 14,466 | $151K | |
| 2020 | 9,175 | $164K | |
| 2021 | 10,025 | $175K | |
| 2022 | 7,727 | $198K | |
| 2023 | 6,577 | $211K | |
| 2024incomplete | 4,547 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 7,172 | 6,589 | $187K |
| D1110 | Prophylaxis - adult | 15% | 4,291 | 4,029 | $185K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,480 | 2,298 | $167K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 4,664 | 4,002 | $108K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 5,914 | 5,260 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 3,127 | 2,761 | $80K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.4% | 158 | 111 | $56K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 1,070 | 590 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,901 | 1,023 | $48K |
| D9999 | Unspecified adjunctive procedure, by report | 3.6% | 994 | 918 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 6,864 | 6,094 | $40K |
| D0274 | Bitewings - four radiographic images | 2.6% | 3,884 | 3,700 | $33K |
23 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 8,697 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 846 | $27K |
| D9430 | 1.9% | 1,624 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 1,002 | $17K |
| D0272 | Bitewings - two radiographic images | 1.1% | 1,989 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 388 | $10K |
| D1310 | <1% | 970 | $6K | |
| D3320 | <1% | 35 | $6K | |
| D4341 | <1% | 171 | $5K | |
| D2332 | <1% | 166 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,156 | $5K |
| D1999 | <1% | 2,441 | $4K | |
| D1351 | Sealant - per tooth | <1% | 133 | $4K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 70 | $4K |
| D0270 | <1% | 1,092 | $2K | |
| D2331 | <1% | 67 | $2K | |
| D2394 | <1% | 36 | $831.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 46 | $576.00 |
| D0601 | <1% | 871 | $480.00 | |
| D0602 | <1% | 25 | $240.00 | |
| D9993 | <1% | 1,172 | $65.00 | |
| D1330 | 0% | 501 | $0.00 | |
| D9986 | 0% | 497 | $0.00 |
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, LOUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Louis M Kim, a Professional Dental Corporation | Sacramento, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.