Medicaid Provider Spending

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

CHINO HILLS FAMILY DENTISTRY

NPI: 1760960793 · CHINO HILLS, CA 91709 · General Practice Dentistry · NPI assigned 08/01/2018

$15K
Total Medicaid Paid
1,005
Total Claims
500
Beneficiaries
8
Codes Billed
2019-03
First Month
2021-07
Last Month

Provider Details

Authorized OfficialKIM, DOUGLAS (OWNER)
NPI Enumeration Date08/01/2018

Related Entities

Other providers sharing the same authorized official: KIM, DOUGLAS

ProviderCityStateTotal Paid
DOUGLAS KIM DDS INC ANAHEIM CA $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 53 $3K
2020 604 $6K
2021 348 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 97 97 $6K
D0230 Intraoral - periapical each additional radiographic image 646 144 $3K
D0210 Intraoral - complete series of radiographic images 38 38 $2K
D1208 Topical application of fluoride, excluding varnish 142 142 $2K
D1110 Prophylaxis - adult 12 12 $1K
D1120 Prophylaxis - child 31 31 $930.00
D9430 20 17 $608.00
D0272 Bitewings - two radiographic images 19 19 $228.00