Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ARTESIA › LEE AND KIM DENTAL CORPORATION

LEE AND KIM DENTAL CORPORATION

NPI: 1700277845 · ARTESIA, CA 90701 · Dental Clinic/Center · NPI assigned 02/11/2015

$10K
Total Medicaid Paid
519
Total Claims
319
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialKIM, DONG (DDS)
NPI Enumeration Date02/11/2015

Related Entities

Other providers sharing the same authorized official: KIM, DONG

ProviderCityStateTotal Paid
DR. DONGWON KIM PC TAUNTON MA $1.53M
DR. DONGWON KIM PC MATTAPAN MA $1.22M
QUABBIN VALLEY DENTAL PC ATHOL MA $1.01M
SHOE CITY FAMILY DENTAL PC HAVERHILL MA $138K
ROCKPORT FAMILY DENTAL PC ROCKPORT MA $92K
SALEM FAMILY DENTAL CARE, P.C. SALEM MA $83K
DONG S KIM DMD, PC LUTHERVILLE MD $67K
PINE DENTAL PC FITCHBURG MA $16K
DONG S. KIM, M.D., INC MORENO VALLEY CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $2K
2019 113 $3K
2020 40 $1K
2021 166 $801.85
2022 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 128 128 $7K
D0230 Intraoral - periapical each additional radiographic image 293 93 $1K
D0330 Panoramic radiographic image 30 30 $840.00
D1208 Topical application of fluoride, excluding varnish 50 50 $566.00
D0274 Bitewings - four radiographic images 18 18 $129.60