Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › FREDERICKSBURG › SEAN KIM DDS PC

SEAN KIM DDS PC

NPI: 1215325055 · FREDERICKSBURG, VA 22408 · Dentist · NPI assigned 01/01/2015

$2K
Total Medicaid Paid
147
Total Claims
140
Beneficiaries
4
Codes Billed
2018-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKIM, SEAN (PRESIDENT)
NPI Enumeration Date01/01/2015

Related Entities

Other providers sharing the same authorized official: KIM, SEAN

ProviderCityStateTotal Paid
LINDENHURST STATION DENTAL LINDENHURST NY $293K
SEAN SANGHOON KIM DDS LAKE FOREST CA $197K
DR. SEAN KIM DDS MD PLLC HOUSTON TX $173K
COOPERCRWN NJ PALISADES PARK NJ $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $249.48
2021 14 $291.06
2022 52 $2K
2023 57 $308.35
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 57 52 $892.75
D1110 Prophylaxis - adult 12 12 $718.43
D1206 Topical application of fluoride varnish 66 64 $582.12
D1208 Topical application of fluoride, excluding varnish 12 12 $249.48