Dental
David C Koo DDS INC
David C Koo DDS INC was paid $191K by Medicaid between Jan 2018 and Jan 2020, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoDAVID C KOO DDS INC
ARCADIA, CA 91006
ARCADIA, CA 91006
33aNPI1568617876assigned 12/01/2008
33bProvider typeDentist
28Total paid$191K
24GClaims7,129
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,149 of 2,314
Median peer was paid$185K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,099 | $107K | |
| 2019 | 2,954 | $82K | |
| 2020 | 76 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,452 | 1,440 | $40K |
| D1110 | Prophylaxis - adult | 19% | 613 | 608 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 586 | 585 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,091 | 1,082 | $26K |
| D1206 | Topical application of fluoride varnish | 6.3% | 940 | 932 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 195 | 100 | $10K |
| D0274 | Bitewings - four radiographic images | 4.6% | 533 | 532 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 160 | 102 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 135 | 135 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.9% | 56 | 25 | $6K |
| D0330 | Panoramic radiographic image | 2.5% | 232 | 232 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 804 | 490 | $3K |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKOO, DAVID (PRESIDENT)