RICK T. KIM DDS. INC.
NPI: 1558550137
· MONTEBELLO, CA 90640
· General Practice Dentistry
· NPI assigned 10/18/2007
$25.10
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, RICK (CEO) |
| Parent Organization | RICK T KIM DDS INC |
| NPI Enumeration Date | 10/18/2007 |
Related Entities
Other providers sharing the same authorized official: KIM, RICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
299 |
$0.00 |
| 2019 |
240 |
$0.00 |
| 2020 |
27 |
$0.00 |
| 2021 |
103 |
$0.00 |
| 2022 |
37 |
$0.00 |
| 2023 |
23 |
$25.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
88 |
62 |
$25.10 |
| D1330 |
|
146 |
128 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
18 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
79 |
67 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
67 |
63 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
60 |
59 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
12 |
$0.00 |
| D9430 |
|
129 |
92 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
40 |
36 |
$0.00 |
| D1999 |
|
14 |
14 |
$0.00 |
| D1120 |
Prophylaxis - child |
72 |
71 |
$0.00 |