JOHNNY KH KIM DDS, INC
NPI: 1851018121
· BELL, CA 90201
· Dental Clinic/Center
· NPI assigned 10/26/2022
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JOHNNY (PRESIDENT) |
| NPI Enumeration Date | 10/26/2022 |
Related Entities
Other providers sharing the same authorized official: KIM, JOHNNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
682 |
$30K |
| 2024 |
2,306 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
690 |
183 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
453 |
451 |
$30K |
| D1110 |
Prophylaxis - adult |
220 |
217 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
296 |
294 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
147 |
64 |
$10K |
| D0350 |
|
578 |
155 |
$5K |
| D0330 |
Panoramic radiographic image |
147 |
147 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
288 |
286 |
$4K |
| D2330 |
|
43 |
17 |
$3K |
| D9430 |
|
44 |
39 |
$1K |
| D1320 |
|
69 |
69 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$577.50 |