Dental
Ted T. Im, DDS, INC.
Ted T. Im, DDS, INC. was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoTED T. IM, DDS, INC.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1770821423assigned 01/30/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$1.26M
24GClaims32,913
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#470 of 2,668
Median peer was paid$173K
This provider vs. median7.3×
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 | 662 | $17K | |
| 2019 | 822 | $13K | |
| 2020 | 1,371 | $27K | |
| 2021 | 4,241 | $116K | |
| 2022 | 6,628 | $219K | |
| 2023 | 8,936 | $393K | |
| 2024incomplete | 10,253 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,668 | 1,331 | $175K |
| D2751 | Crown - porcelain fused to predominantly base metal | 12% | 321 | 222 | $152K |
| D1110 | Prophylaxis - adult | 10.0% | 1,428 | 1,422 | $126K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 1,803 | 1,797 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 1,761 | 1,754 | $117K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 1,491 | 839 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 1,612 | 1,611 | $70K |
| D0210 | Intraoral - complete series of radiographic images | 5.1% | 1,357 | 1,353 | $64K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.0% | 806 | 487 | $64K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.1% | 448 | 286 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 12,463 | 2,221 | $51K |
| D4341 | 3.6% | 654 | 247 | $46K |
14 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 3,024 | $41K |
| D0274 | Bitewings - four radiographic images | 2.4% | 1,484 | $31K |
| D4910 | 2.1% | 359 | $27K | |
| D2331 | 1.2% | 191 | $15K | |
| D9430 | <1% | 355 | $11K | |
| D2954 | <1% | 90 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 267 | $3K |
| D2330 | <1% | 32 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 83 | $2K |
| D4342 | <1% | 48 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 29 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $1K |
| D2140 | <1% | 22 | $1K | |
| D0350 | <1% | 95 | $902.40 |
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 officialIM, TED (PRESIDENT)