Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FULLERTON › JASON KIM DDS, INC

JASON KIM DDS, INC

NPI: 1184166498 · FULLERTON, CA 92831 · Dentist · NPI assigned 11/17/2016

$3K
Total Medicaid Paid
508
Total Claims
241
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialKIM, JASON (PRESIDENT)
NPI Enumeration Date11/17/2016

Related Entities

Other providers sharing the same authorized official: KIM, JASON

ProviderCityStateTotal Paid
JASON KIM DENTAL CORPORATION HAWTHORNE CA $56K
KIM MEDICAL CORPORATION FULLERTON CA $780.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 137 $644.00
2019 60 $313.25
2020 69 $490.05
2021 123 $903.75
2022 83 $333.12
2023 36 $145.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 425 158 $2K
D0274 Bitewings - four radiographic images 44 44 $860.40
D1208 Topical application of fluoride, excluding varnish 39 39 $385.00