YOHAN KIM DENTAL CORPORATION
NPI: 1336297548
· SANTA ANA, CA 92701
· Dentist
· NPI assigned 01/08/2007
$315K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, YOHAN (PRESIDENT) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,146 |
$36K |
| 2019 |
3,219 |
$49K |
| 2020 |
1,735 |
$22K |
| 2021 |
2,035 |
$22K |
| 2022 |
2,836 |
$48K |
| 2023 |
2,861 |
$50K |
| 2024 |
3,526 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,410 |
1,404 |
$79K |
| D0230 |
Intraoral - periapical each additional radiographic image |
13,160 |
2,341 |
$54K |
| D1120 |
Prophylaxis - child |
1,074 |
1,068 |
$40K |
| D1110 |
Prophylaxis - adult |
455 |
453 |
$39K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
554 |
549 |
$34K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
429 |
245 |
$29K |
| D0272 |
Bitewings - two radiographic images |
2,232 |
2,218 |
$26K |
| D2791 |
|
28 |
24 |
$13K |
| D2160 |
|
16 |
12 |
$1K |