Medicaid Provider Spending

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

CHUNG KIM DENTAL CORPORATION

NPI: 1558553511 · SANTA ANA, CA 92707 · Dentist · NPI assigned 08/14/2007

$40K
Total Medicaid Paid
1,079
Total Claims
887
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialKIM, CHUNG (PRESIDENT)
NPI Enumeration Date08/14/2007

Related Entities

Other providers sharing the same authorized official: KIM, CHUNG

ProviderCityStateTotal Paid
CHUNG KIM DDS, INC PERRIS CA $758K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 643 $27K
2019 225 $7K
2020 76 $2K
2021 12 $144.00
2022 85 $3K
2023 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 264 90 $13K
D0150 Comprehensive oral evaluation - new or established patient 142 142 $7K
D1120 Prophylaxis - child 191 190 $6K
D1110 Prophylaxis - adult 63 63 $4K
D0120 Periodic oral evaluation - established patient 94 94 $4K
D0272 Bitewings - two radiographic images 283 283 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 25 $3K