Clinic
Sean Kim, DDS, INC.
Sean Kim, DDS, INC. was paid $120K by Medicaid between Jul 2020 and Nov 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoSEAN KIM, DDS, INC.
PASADENA, CA 91104
PASADENA, CA 91104
33aNPI1306323035assigned 07/25/2018
33bProvider typeDental Clinic/Center
28Total paid$120K
24GClaims2,796
24DCodes billed13
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#653 of 1,135
Median peer was paid$200K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 193 | $9K | |
| 2021 | 432 | $20K | |
| 2022 | 634 | $28K | |
| 2023 | 766 | $31K | |
| 2024incomplete | 771 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 640 | 640 | $42K |
| D1110 | Prophylaxis - adult | 21% | 286 | 286 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 361 | 361 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 144 | 144 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 490 | 490 | $7K |
| D9430 | 3.6% | 134 | 133 | $4K | |
| D0330 | Panoramic radiographic image | 3.4% | 246 | 246 | $4K |
| D0350 | 2.0% | 88 | 84 | $2K | |
| D1320 | 1.5% | 105 | 104 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.4% | 79 | 79 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 69 | 69 | $965.50 |
| D4910 | <1% | 12 | 12 | $924.00 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 142 | $874.80 |
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 officialSUNYOTO, SEAN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Sean BP Sunyoto DDS INC | Buena Park, CA | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.