Dental
DR. Henry Kim DDS INC.
DR. Henry Kim DDS INC. was paid $3.23M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoDR. HENRY KIM DDS INC.
CITRUS HEIGHTS, CA 95610
CITRUS HEIGHTS, CA 95610
33aNPI1669641569assigned 02/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$3.23M
24GClaims123,876
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#172 of 2,668
Median peer was paid$173K
This provider vs. median19×
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 | 20,991 | $399K | |
| 2019 | 21,663 | $375K | |
| 2020 | 15,365 | $256K | |
| 2021 | 18,507 | $331K | |
| 2022 | 18,064 | $693K | |
| 2023 | 16,730 | $656K | |
| 2024incomplete | 12,556 | $515K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 21,864 | 21,720 | $703K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 16,582 | 16,441 | $536K |
| D1110 | Prophylaxis - adult | 16% | 7,067 | 7,044 | $501K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 12,847 | 12,750 | $280K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 3,981 | 3,289 | $206K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 4,488 | 3,576 | $187K |
| D1351 | Sealant - per tooth | 5.3% | 5,758 | 2,260 | $170K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 2,858 | 2,836 | $128K |
| D1310 | 2.7% | 4,763 | 4,752 | $86K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 1,867 | 1,451 | $82K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 7,375 | 7,184 | $70K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 1,348 | 1,342 | $51K |
16 more codes
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,923 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 13,731 | $42K |
| D0272 | Bitewings - two radiographic images | <1% | 3,233 | $30K |
| D0274 | Bitewings - four radiographic images | <1% | 1,439 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 320 | $22K |
| D0601 | <1% | 3,218 | $18K | |
| D0603 | <1% | 1,481 | $9K | |
| D0270 | <1% | 1,943 | $8K | |
| D2331 | <1% | 140 | $8K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 116 | $7K |
| D1999 | <1% | 100 | $6K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 29 | $2K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 12 | $1K |
| D9987 | 0% | 180 | $0.00 | |
| D9993 | 0% | 3,809 | $0.00 | |
| D9986 | 0% | 1,404 | $0.00 |
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, HENRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 23801 Newhall Avenue, LLC | Newhall, CA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.