KENNETH H KIM,DDS, A PROFESSIONAL CORP.
NPI: 1184829830
· SANTA ANA, CA 92706
· General Practice Dentistry
· NPI assigned 06/20/2007
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, KENNETH (PRESIDENT) |
| NPI Enumeration Date | 06/20/2007 |
Related Entities
Other providers sharing the same authorized official: KIM, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,021 |
$20K |
| 2019 |
1,590 |
$42K |
| 2020 |
703 |
$20K |
| 2021 |
780 |
$23K |
| 2022 |
827 |
$33K |
| 2023 |
232 |
$9K |
| 2024 |
110 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
648 |
648 |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
729 |
729 |
$34K |
| D1120 |
Prophylaxis - child |
1,029 |
1,029 |
$28K |
| D0230 |
Intraoral - periapical each additional radiographic image |
942 |
938 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
300 |
300 |
$13K |
| D0274 |
Bitewings - four radiographic images |
497 |
497 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,033 |
1,033 |
$8K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
59 |
59 |
$435.50 |