Clinic
Johnny KH Kim DDS, INC
Johnny KH Kim DDS, INC was paid $128K by Medicaid between Apr 2023 and Nov 2024, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoJOHNNY KH KIM DDS, INC
BELL, CA 90201
BELL, CA 90201
33aNPI1851018121assigned 10/26/2022
33bProvider typeDental Clinic/Center
28Total paid$128K
24GClaims2,988
24DCodes billed12
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#645 of 1,135
Median peer was paid$200K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 682 | $30K | |
| 2024incomplete | 2,306 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 29% | 690 | 183 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 453 | 451 | $30K |
| D1110 | Prophylaxis - adult | 14% | 220 | 217 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 296 | 294 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 147 | 64 | $10K |
| D0350 | 3.9% | 578 | 155 | $5K | |
| D0330 | Panoramic radiographic image | 3.3% | 147 | 147 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 288 | 286 | $4K |
| D2330 | 2.7% | 43 | 17 | $3K | |
| D9430 | 1.0% | 44 | 39 | $1K | |
| D1320 | <1% | 69 | 69 | $1K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $577.50 |
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 officialKIM, JOHNNY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| John Kim DDS, INC | Los Angeles, CA | $1.57M |
| Johnny K. Kim DDS INC | Los Angeles, CA | $738K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.