Dental
Johnny K. Kim DDS INC
Johnny K. Kim DDS INC was paid $738K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoJOHNNY K. KIM DDS INC
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
33aNPI1619322294assigned 05/02/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$738K
24GClaims16,700
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#703 of 2,668
Median peer was paid$173K
This provider vs. median4.3×
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 | 1,747 | $69K | |
| 2019 | 2,887 | $117K | |
| 2020 | 2,838 | $134K | |
| 2021 | 2,120 | $97K | |
| 2022 | 1,930 | $91K | |
| 2023 | 3,034 | $136K | |
| 2024incomplete | 2,144 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 1,985 | 1,977 | $123K |
| D1110 | Prophylaxis - adult | 16% | 1,399 | 1,395 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 1,654 | 611 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,277 | 553 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,719 | 1,710 | $79K |
| D9430 | 8.8% | 2,054 | 1,764 | $65K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 462 | 462 | $27K |
| D0350 | 3.1% | 1,452 | 936 | $23K | |
| D2330 | 3.1% | 305 | 131 | $23K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 1,678 | 1,673 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.9% | 189 | 114 | $22K |
| D4341 | 1.9% | 198 | 58 | $14K |
11 more codes
| D2332 | 1.8% | 151 | $13K | |
| D0330 | Panoramic radiographic image | 1.2% | 309 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 980 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 267 | $4K |
| D1120 | Dental cleaning, child | <1% | 95 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 260 | $3K |
| D1320 | <1% | 174 | $3K | |
| D2331 | <1% | 32 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 33 | $2K |
| D4910 | <1% | 15 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $203.00 |
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 officialKIM, JOHNNY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| John Kim DDS, INC | Los Angeles, CA | $1.57M |
| Johnny KH Kim DDS, INC | Bell, CA | $128K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.