Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HELEN D. KIM D.D.S., INC.

NPI: 1366500688 · FULLERTON, CA 92832 · General Practice Dentistry · NPI assigned 12/06/2006

$51K
Total Medicaid Paid
1,585
Total Claims
905
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialKIM, HELEN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: KIM, HELEN

ProviderCityStateTotal Paid
KOREATOWN SENIOR CENTER LLC LOS ANGELES CA $6.42M
CLOVE LAKES ENT PC STATEN ISLAND NY $2.66M
CRENSHAW COMMUNITY CENTER LLC LOS ANGELES CA $2.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $480.00
2019 181 $9K
2020 247 $2K
2021 416 $18K
2022 321 $8K
2023 309 $10K
2024 99 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 310 310 $27K
D0120 Periodic oral evaluation - established patient 157 157 $10K
D0150 Comprehensive oral evaluation - new or established patient 75 75 $5K
D0210 Intraoral - complete series of radiographic images 76 76 $4K
D0230 Intraoral - periapical each additional radiographic image 865 185 $4K
D1120 Prophylaxis - child 26 26 $780.00
D1206 Topical application of fluoride varnish 32 32 $554.00
D1208 Topical application of fluoride, excluding varnish 32 32 $401.00
D0274 Bitewings - four radiographic images 12 12 $259.20