Clinic
Michelle K. Kim D.D.S. Corp.
Michelle K. Kim D.D.S. Corp. was paid $59K by Medicaid between Jan 2018 and Oct 2023, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoMICHELLE K. KIM D.D.S. CORP.
PASADENA, CA 91107
PASADENA, CA 91107
33aNPI1295979532assigned 04/30/2009
33bProvider typeDental Clinic/Center
28Total paid$59K
24GClaims2,293
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#769 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | 1,010 | $27K | |
| 2019 | 573 | $14K | |
| 2020 | 204 | $5K | |
| 2021 | 352 | $9K | |
| 2022 | 22 | $89.10 | |
| 2023 | 132 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 431 | 425 | $17K |
| D1110 | Prophylaxis - adult | 17% | 132 | 132 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 169 | 169 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 177 | 177 | $8K |
| D0274 | Bitewings - four radiographic images | 6.5% | 196 | 193 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 986 | 508 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.7% | 51 | 27 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 80 | 76 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 28 | 15 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | 29 | $261.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 12 | $140.00 |
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.
From NPPES
Who's on the registration
Authorized officialKIM, MICHELLE (PRESIDENT/OWNER)
Parent organizationMICHELLE K. KIM D.D.S. CORP.
| Provider | Location | Paid |
|---|---|---|
| Gold Optometry INC. | Los Angeles, CA | $101K |
| Gold Optometry INC. | Garden Grove, CA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.