Clinic
Sung Koo Kim,dds,inc.
Sung Koo Kim,dds,inc. was paid $112K by Medicaid between Feb 2018 and Oct 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoSUNG KOO KIM,DDS,INC.
ROWLAND HEIGHTS, CA 91748
ROWLAND HEIGHTS, CA 91748
33aNPI1437523883assigned 11/23/2015
33bProvider typeDental Clinic/Center
28Total paid$112K
24GClaims4,130
24DCodes billed10
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#666 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 | |
|---|---|---|---|
| 2018 | 450 | $12K | |
| 2019 | 393 | $13K | |
| 2020 | 362 | $12K | |
| 2021 | 234 | $7K | |
| 2022 | 634 | $21K | |
| 2023 | 1,161 | $29K | |
| 2024incomplete | 896 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 444 | 441 | $27K |
| D1110 | Prophylaxis - adult | 18% | 235 | 235 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 267 | 266 | $17K |
| D9430 | 15% | 563 | 406 | $17K | |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 834 | 832 | $11K |
| D0330 | Panoramic radiographic image | 9.5% | 372 | 367 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 1,207 | 579 | $6K |
| D0274 | Bitewings - four radiographic images | 2.2% | 128 | 128 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 26 | 26 | $990.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 54 | 47 | $561.00 |
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, SUNG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Parkeville LLC | Gardena, CA | $1.34M |
| JK Prorehab INC | Cerritos, CA | $170K |
| Elk Grove Optical, P.C. | Elk Grove Village, IL | $60K |
| Olive Hill Pharmacy, INC. | Los Angeles, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.