Medicaid Provider Spending

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

RICK T KIM DDS INC

NPI: 1457824963 · LYNWOOD, CA 90262 · General Practice Dentistry · NPI assigned 01/08/2019

$4K
Total Medicaid Paid
81
Total Claims
81
Beneficiaries
3
Codes Billed
2022-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialKIM, RICK (CEO)
NPI Enumeration Date01/08/2019

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 A PROFESSIONAL DENTAL CORP LAKEWOOD CA $3K
RICK T. KIM DDS. INC. MONTEBELLO CA $25.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $176.00
2024 69 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 34 34 $2K
D0210 Intraoral - complete series of radiographic images 35 35 $2K
D1208 Topical application of fluoride, excluding varnish 12 12 $176.00