Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LOUIS KIM DDS INC.

NPI: 1174761522 · SACRAMENTO, CA 95824 · General Practice Dentistry · NPI assigned 01/22/2009

$1.27M
Total Medicaid Paid
68,514
Total Claims
57,452
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIM, LOUIS (PRESIDENT)
NPI Enumeration Date01/22/2009

Related Entities

Other providers sharing the same authorized official: KIM, LOUIS

ProviderCityStateTotal Paid
LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION SACRAMENTO CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,547 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 7,172 6,589 $187K
D1110 Prophylaxis - adult 4,291 4,029 $185K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,480 2,298 $167K
D1120 Prophylaxis - child 4,664 4,002 $108K
D1208 Topical application of fluoride, excluding varnish 5,914 5,260 $102K
D0150 Comprehensive oral evaluation - new or established patient 3,127 2,761 $80K
D2751 Crown - porcelain fused to predominantly base metal 158 111 $56K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,070 590 $49K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,901 1,023 $48K
D9999 Unspecified adjunctive procedure, by report 994 918 $46K
D0220 Intraoral - periapical first radiographic image 6,864 6,094 $40K
D0274 Bitewings - four radiographic images 3,884 3,700 $33K
D0230 Intraoral - periapical each additional radiographic image 8,697 7,002 $31K
D7140 Extraction, erupted tooth or exposed root 846 340 $27K
D9430 1,624 1,574 $24K
D0210 Intraoral - complete series of radiographic images 1,002 934 $17K
D0272 Bitewings - two radiographic images 1,989 1,842 $15K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 388 181 $10K
D1310 970 886 $6K
D3320 35 26 $6K
D4341 171 70 $5K
D2332 166 85 $5K
D0140 Limited oral evaluation - problem focused 1,156 1,014 $5K
D1999 2,441 2,338 $4K
D1351 Sealant - per tooth 133 29 $4K
D0999 Unspecified diagnostic procedure, by report 70 70 $4K
D0270 1,092 1,020 $2K
D2331 67 39 $2K
D2394 36 17 $831.00
D1206 Topical application of fluoride varnish 46 45 $576.00
D0601 871 718 $480.00
D0602 25 25 $240.00
D9993 1,172 1,072 $65.00
D1330 501 301 $0.00
D9986 497 449 $0.00