SEUNG HWAN KIM, DDS, INC
NPI: 1689198806
· GARDEN GROVE, CA 92843
· Dental Clinic/Center
· NPI assigned 07/30/2017
$260K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KIM, SEUNG HWAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
667 |
$14K |
| 2019 |
918 |
$32K |
| 2020 |
355 |
$10K |
| 2021 |
1,433 |
$32K |
| 2022 |
1,761 |
$47K |
| 2023 |
2,286 |
$60K |
| 2024 |
2,431 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
676 |
675 |
$47K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
738 |
734 |
$46K |
| D1110 |
Prophylaxis - adult |
474 |
472 |
$42K |
| D9430 |
|
1,312 |
1,201 |
$42K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,177 |
1,175 |
$16K |
| D4910 |
|
200 |
200 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,754 |
768 |
$15K |
| D0210 |
Intraoral - complete series of radiographic images |
312 |
310 |
$14K |
| D0274 |
Bitewings - four radiographic images |
428 |
428 |
$9K |
| D1120 |
Prophylaxis - child |
142 |
142 |
$6K |
| D0330 |
Panoramic radiographic image |
207 |
204 |
$4K |
| D4341 |
|
34 |
13 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
13 |
$928.20 |
| D0350 |
|
284 |
179 |
$924.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$180.00 |
| D1330 |
|
80 |
80 |
$0.00 |