Wyndhamsmitha ND Kim, a Professional Dental Corporation

Wyndhamsmitha ND Kim, a Professional Dental Corporation was paid $799.80 by Medicaid between Mar 2018 and Jul 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.

33Billing provider infoWYNDHAMSMITHA ND KIM, A PROFESSIONAL DENTAL CORPORATION
VALENCIA, CA 91355

33aNPI1215159389assigned 05/02/2007

33bProvider typeDentist

28Total paid$799.80

24GClaims60

24DCodes billed2

24AFirst – last monthMar 2018 – Jul 2018

Compared with peers

Next to other Dentist providers in California

Rank by total paid#2,176 of 2,314

Median peer was paid$185K

This provider vs. median0.0×

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

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

Year	Claims	Paid
2018	60	$799.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	74%	28	28	$591.00
D0274	Bitewings - four radiographic images	26%	32	32	$208.80

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.

From NPPES

Who's on the registration

Authorized officialWYNDHAMSMITH, DAVID (OWNER/DENTIST)