Medicaid Provider Spending

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

RICK T KIM A PROFESSIONAL DENTAL CORP

NPI: 1457548182 · LAKEWOOD, CA 90715 · General Practice Dentistry · NPI assigned 09/26/2007

$3K
Total Medicaid Paid
178
Total Claims
130
Beneficiaries
5
Codes Billed
2018-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialKIM, RICK (CEO)
NPI Enumeration Date09/26/2007

Related Entities

Other providers sharing the same authorized official: KIM, RICK

ProviderCityStateTotal Paid
RICK T KIM DDS INC MORENO VALLEY CA $1.06M
RICK T KIM DDS INC BELLFLOWER CA $93K
RICK T. KIM DDS INC. CORONA CA $89K
RICK T KIM DDS INC ONTARIO CA $72K
RICK T KIM DDS INC LYNWOOD CA $4K
RICK T. KIM DDS. INC. MONTEBELLO CA $25.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $522.00
2019 62 $940.20
2021 52 $210.60
2024 13 $858.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 13 13 $858.00
D0120 25 25 $816.00
D1208 51 51 $333.00
D0230 76 28 $307.80
D0274 13 13 $216.00