Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

S.S. Kim,d.D.S. INC.

S.S. Kim,d.D.S. INC. was paid $891K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 26% of everything it billed.

33Billing provider infoS.S. KIM,D.D.S. INC.
RIVERSIDE, CA 92504
33aNPI1841406907assigned 05/15/2007
28Total paid$891K
24GClaims23,619
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#624 of 2,668
Median peer was paid$173K
This provider vs. median5.2×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,005$183K
20194,486$164K
20201,097$33K
20212,009$25K
20223,624$85K
20233,605$210K
2024incomplete3,793$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2751 Crown - porcelain fused to predominantly base metal 26% 495 302 $235K
D0150 Comprehensive oral evaluation - new or established patient 9.7% 1,463 1,457 $86K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 9.3% 710 430 $83K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.2% 1,512 1,502 $82K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 8.4% 165 151 $75K
D0210 Intraoral - complete series of radiographic images 8.1% 1,582 1,570 $72K
D1110 Prophylaxis - adult 5.2% 567 566 $46K
D0230 Intraoral - periapical each additional radiographic image 5.1% 10,087 1,801 $46K
D2954 4.6% 392 255 $41K
D2150 Silver amalgam - two surfaces, primary or permanent 2.5% 341 205 $23K
D1208 Topical application of fluoride, excluding varnish 2.2% 1,584 1,574 $19K
D0220 Intraoral - periapical first radiographic image 1.9% 1,486 1,432 $17K
8 more codes
D1120 Dental cleaning, child 1.6% 396 $15K
D9430 1.5% 441 $13K
D0272 Bitewings - two radiographic images 1.2% 943 $11K
D2140 <1% 152 $8K
D0350 <1% 817 $8K
D1320 <1% 418 $6K
D4910 <1% 53 $4K
D1310 0% 15 $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 officialTRUONG-KIM, NINA (REGIONAL MANAGER)