Medicaid Provider Spending

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

KEE NAM KIM DDS PS

NPI: 1629499215 · EVERETT, WA 98208 · Dentist · NPI assigned 12/27/2013

$6K
Total Medicaid Paid
558
Total Claims
461
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialKIM, KEE (PRESIDENT)
NPI Enumeration Date12/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 249 $4K
2019 239 $2K
2020 70 $556.31

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 123 112 $2K
D0150 Comprehensive oral evaluation - new or established patient 72 66 $2K
D0220 Intraoral - periapical first radiographic image 220 193 $1K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 20 12 $1K
D0274 Bitewings - four radiographic images 25 25 $233.89
D0230 Intraoral - periapical each additional radiographic image 98 53 $154.08