Medicaid Provider Spending

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

HYUNYOUNG KIM, DDS, INC

NPI: 1528896073 · HAWTHORNE, CA 90250 · Dental Clinic/Center · NPI assigned 07/25/2024

$8K
Total Medicaid Paid
298
Total Claims
130
Beneficiaries
4
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIM, HYUN YOUNG (OWNER)
NPI Enumeration Date07/25/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 298 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 40 13 $3K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $3K
D0350 189 50 $2K
D9430 29 27 $928.00