HARRY C KIM DDS INC.
NPI: 1215066790
· GARDENA, CA 90249
· General Practice Dentistry
· NPI assigned 03/02/2007
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, HARRY (CEO) |
| NPI Enumeration Date | 03/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
824 |
$13K |
| 2019 |
1,205 |
$19K |
| 2020 |
687 |
$10K |
| 2021 |
412 |
$8K |
| 2022 |
1,567 |
$35K |
| 2023 |
1,660 |
$35K |
| 2024 |
2,414 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,020 |
1,014 |
$62K |
| D1120 |
Prophylaxis - child |
1,161 |
1,153 |
$47K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,931 |
1,153 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,172 |
1,165 |
$14K |
| D1351 |
Sealant - per tooth |
335 |
67 |
$11K |
| D0272 |
Bitewings - two radiographic images |
887 |
883 |
$10K |
| D1110 |
Prophylaxis - adult |
80 |
80 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
73 |
67 |
$3K |
| D0350 |
|
28 |
12 |
$261.60 |