Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › BLOOMINGTON › D H KIM DENTAL CORPORATION

D H KIM DENTAL CORPORATION

NPI: 1568237238 · BLOOMINGTON, CA 92316 · Dental Clinic/Center · NPI assigned 11/22/2023

$26K
Total Medicaid Paid
958
Total Claims
448
Beneficiaries
7
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIM, HYUNG (PRESIDENT)
Parent OrganizationD H KIM DENTAL CORPORATION
NPI Enumeration Date11/22/2023

Related Entities

Other providers sharing the same authorized official: KIM, HYUNG

ProviderCityStateTotal Paid
HYUNG T KIM DDS INC. LONG BEACH CA $4.39M
D H KIM DENTAL CORPORATION ONTARIO CA $269K
CROWN CENTERS LLC BROOKLINE MA $119K
K&S HEALTH GROUP, INC NORWALK CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 958 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 223 103 $12K
D0150 Comprehensive oral evaluation - new or established patient 78 78 $5K
D0350 363 120 $3K
D0210 Intraoral - complete series of radiographic images 73 73 $3K
D1120 Prophylaxis - child 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 183 36 $741.15
D0274 Bitewings - four radiographic images 13 13 $259.20