Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAEWONKIM DDS, PA

NPI: 1912100157 · HAVRE DE GRACE, MD 21078 · Dentist · NPI assigned 06/06/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KIM, DAVID controls 17+ related entities in our dataset. Read more

$547K
Total Medicaid Paid
16,883
Total Claims
15,781
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIM, DAVID (PRESIDENT)
NPI Enumeration Date06/06/2007

Related Entities

Other providers sharing the same authorized official: KIM, DAVID

ProviderCityStateTotal Paid
PROGRESSIVE EMERGENCY PHYSICIANS PLLC BETHPAGE NY $8.84M
BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC. STATEN ISLAND NY $1.85M
TODAY'S FAMILY DENTISTRY, P.C. CULLMAN AL $1.77M
PROGRESSIVE EMERGENCY PHYSICIANS PA, PLLC NORRISTOWN PA $1.52M
BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC STATEN ISLAND NY $1.20M
SOUTHERN CALIFORNIA RETINA SPECIALISTS, INC. WEST HILLS CA $1.04M
ANCHORAGE PSYCHIATRY ANCHORAGE AK $864K
COASTAL FAMILY MEDICINE, INC IRVINE CA $584K
DAVID S KIM MEDICAL INC LOS ANGELES CA $187K
DAVID H KIM, MD, PROF. CORP. LAS VEGAS NV $172K
COASTAL FAMILY MEDICINE, INC COSTA MESA CA $138K
COASTAL FAMILY MEDICINE, INC FOUNTAIN VALLEY CA $135K
NPS PHYSICIANS PITTSBURGH, LLC PITTSBURGH PA $98K
LOGOS DENTAL ELKTON MD $13K
DAVID O KIM MD INC TORRANCE CA $10K
NORTH REGIONAL INFECTIOUS DISEASES PROFESSIONAL ASSOCIATION ROCKWALL TX $8K
DAVID S KIM DDS CORP NEWHALL CA $792.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,044 $90K
2019 3,167 $97K
2020 2,335 $81K
2021 1,915 $55K
2022 2,076 $62K
2023 2,367 $88K
2024 1,979 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,613 1,589 $98K
D0120 Periodic oral evaluation - established patient 3,254 3,201 $95K
D1206 Topical application of fluoride varnish 3,668 3,615 $91K
D1120 Prophylaxis - child 2,102 2,068 $90K
D2391 Resin-based composite - one surface, posterior, primary or permanent 384 204 $37K
D0274 Bitewings - four radiographic images 1,205 1,193 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 216 125 $27K
D1351 Sealant - per tooth 788 183 $26K
D0272 Bitewings - two radiographic images 846 835 $13K
D1330 2,050 2,029 $13K
D0330 Panoramic radiographic image 270 269 $12K
D0150 Comprehensive oral evaluation - new or established patient 161 161 $9K
D0140 Limited oral evaluation - problem focused 191 180 $9K
D0220 Intraoral - periapical first radiographic image 135 129 $1K