Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › HAWTHORNE › JASON KIM DENTAL CORPORATION

JASON KIM DENTAL CORPORATION

NPI: 1346857943 · HAWTHORNE, CA 90250 · Dental Clinic/Center · NPI assigned 09/28/2020

$56K
Total Medicaid Paid
2,745
Total Claims
1,720
Beneficiaries
6
Codes Billed
2021-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKIM, JASON (PRESIDENT)
NPI Enumeration Date09/28/2020

Related Entities

Other providers sharing the same authorized official: KIM, JASON

ProviderCityStateTotal Paid
JASON KIM DDS, INC FULLERTON CA $3K
KIM MEDICAL CORPORATION FULLERTON CA $780.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 526 $11K
2022 703 $14K
2023 874 $16K
2024 642 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 269 269 $18K
D1110 Prophylaxis - adult 173 173 $15K
D0274 Bitewings - four radiographic images 397 397 $8K
D0230 Intraoral - periapical each additional radiographic image 1,502 477 $6K
D1208 Topical application of fluoride, excluding varnish 371 371 $5K
D0120 Periodic oral evaluation - established patient 33 33 $3K