Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › HAWAIIAN GARDENS › KWANG SEOB KIM DDS INC

KWANG SEOB KIM DDS INC

NPI: 1851863393 · HAWAIIAN GARDENS, CA 90716 · Dental Clinic/Center · NPI assigned 12/21/2018

$37K
Total Medicaid Paid
873
Total Claims
869
Beneficiaries
6
Codes Billed
2019-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKIM, KWANG (DENTIST)
NPI Enumeration Date12/21/2018

Related Entities

Other providers sharing the same authorized official: KIM, KWANG

ProviderCityStateTotal Paid
KWANG HAN KIM DDS, PL NEW YORK NY $533K
K.S. KIM DENTAL INC VAN NUYS CA $306K
KWANG S. KIM DDS, INC LOS ANGELES CA $158K
KWANG JIN KIM DDS HAWTHORNE CA $44K
KWANG W KIM, DDS, PLLC SOUTH BOSTON VA $13K
KOAM PHARMACY INC ARTESIA CA $519.54

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 141 $7K
2020 188 $9K
2021 78 $2K
2022 118 $5K
2023 197 $8K
2024 151 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 293 291 $19K
D1110 Prophylaxis - adult 73 73 $7K
D0330 Panoramic radiographic image 181 179 $5K
D1208 Topical application of fluoride, excluding varnish 231 231 $3K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D0274 Bitewings - four radiographic images 67 67 $1K