Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › SOUTH BOSTON › KWANG W KIM, DDS, PLLC

KWANG W KIM, DDS, PLLC

NPI: 1255061909 · SOUTH BOSTON, VA 24592 · General Practice Dentistry · NPI assigned 06/15/2022

$13K
Total Medicaid Paid
1,505
Total Claims
1,500
Beneficiaries
7
Codes Billed
2022-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKIM, KWANG (DENTIST)
NPI Enumeration Date06/15/2022

Related Entities

Other providers sharing the same authorized official: KIM, KWANG

ProviderCityStateTotal Paid
KWANG HAN KIM DDS, PL NEW YORK NY $533K
K.S. KIM DENTAL INC VAN NUYS CA $306K
KWANG S. KIM DDS, INC LOS ANGELES CA $158K
KWANG JIN KIM DDS HAWTHORNE CA $44K
KWANG SEOB KIM DDS INC HAWAIIAN GARDENS CA $37K
KOAM PHARMACY INC ARTESIA CA $519.54

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 26 $628.80
2023 682 $13K
2024 797 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 554 552 $4K
D0150 Comprehensive oral evaluation - new or established patient 187 185 $2K
D1120 Prophylaxis - child 274 273 $2K
D1110 Prophylaxis - adult 149 149 $2K
D0120 Periodic oral evaluation - established patient 243 243 $1K
D0274 Bitewings - four radiographic images 82 82 $897.00
D0272 Bitewings - two radiographic images 16 16 $0.00