Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

DO, Kimchi

DO, Kimchi was paid $217K by Medicaid between Jan 2018 and Dec 2023, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoDO, KIMCHI
EL MONTE, CA 91732
33aNPI1194831255assigned 08/22/2006
33bProvider typeDentist
28Total paid$217K
24GClaims9,980
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,101 of 2,314
Median peer was paid$185K
This provider vs. median1.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20182,049$37K
20192,262$48K
20201,348$27K
20211,572$31K
20221,244$34K
20231,505$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 38% 1,662 1,662 $82K
D1120 Dental cleaning, childProphylaxis - child 19% 1,283 1,283 $42K
D0274 Bitewings - four radiographic images 12% 1,288 1,288 $26K
D1208 Topical application of fluoride, excluding varnish 9.1% 1,837 1,837 $20K
D0230 Intraoral - periapical each additional radiographic image 9.0% 3,520 1,707 $20K
D1110 Prophylaxis - adult 8.3% 232 231 $18K
D2330 3.6% 102 63 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 13 12 $655.20
D0210 Intraoral - complete series of radiographic images <1% 13 13 $520.00
D0272 Bitewings - two radiographic images <1% 30 30 $326.00

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.