NPI: 1932578101 · GLENDORA, CA 91740 · Dentist · NPI assigned 09/17/2015
| Authorized Official | KIM, GRACE (PRESIDENT) |
| NPI Enumeration Date | 09/17/2015 |
Other providers sharing the same authorized official: KIM, GRACE
| Provider | City | State | Total Paid |
|---|---|---|---|
| DANIEL K. KIM, DDS, INC | RIVERSIDE | CA | $523K |
| DANIEL K. KIM, DDS, INC | ANAHEIM | CA | $475K |
| LONGMONT EYECARE, PLLC | LONGMONT | CO | $140K |
| INFECTIOUS DISEASE SPECIALISTS OF CONNECTICUT, LLC | BRIDGEPORT | CT | $115K |
| GRAND MESA NEPHROLOGY PLLC | GRAND JUNCTION | CO | $74K |
| WELCOME MEDICAL SUPPLIES, INC | GARDEN GROVE | CA | $59K |
| GRACE KIM MD ENDOCRINE INC | SAN CARLOS | CA | $7K |
| TWIN CITIES PSYCHOLOGICAL SERVICES, LTD. | MINNEAPOLIS | MN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 367 | $4K |
| 2019 | 435 | $9K |
| 2020 | 612 | $7K |
| 2021 | 721 | $9K |
| 2022 | 499 | $11K |
| 2023 | 699 | $16K |
| 2024 | 307 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 187 | 186 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 840 | 836 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,934 | 582 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 105 | 105 | $7K |
| D1120 | Prophylaxis - child | 215 | 214 | $7K |
| D1110 | Prophylaxis - adult | 67 | 67 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 70 | 28 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 101 | 100 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 22 | 12 | $1K |
| D9430 | 29 | 27 | $928.00 | |
| D0274 | Bitewings - four radiographic images | 37 | 37 | $766.80 |
| D0350 | 33 | 13 | $326.40 |