Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Hesperia › NPI 1952513103
Dental

Andrew J. Lim, DDS, INC.

Andrew J. Lim, DDS, INC. was paid $1.86M by Medicaid between May 2020 and Dec 2024, across 26 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.

33Billing provider infoANDREW J. LIM, DDS, INC.
HESPERIA, CA 92345
33aNPI1952513103assigned 05/03/2007
28Total paid$1.86M
24GClaims64,914
24DCodes billed26
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#324 of 2,668
Median peer was paid$173K
This provider vs. median11×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20206,868$156K
202114,495$382K
202216,234$503K
202314,913$466K
2024incomplete12,404$357K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 17% 4,661 4,649 $308K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 2,672 2,654 $194K
D2150 Silver amalgam - two surfaces, primary or permanent 9.8% 2,710 1,397 $182K
D1120 Dental cleaning, childProphylaxis - child 7.7% 3,311 3,297 $144K
D0230 Intraoral - periapical each additional radiographic image 6.2% 28,106 6,608 $115K
D1110 Prophylaxis - adult 5.9% 1,226 1,216 $110K
D0210 Intraoral - complete series of radiographic images 5.4% 2,118 2,113 $101K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 5.1% 810 340 $96K
D0274 Bitewings - four radiographic images 3.4% 2,991 2,976 $63K
D2751 Crown - porcelain fused to predominantly base metal 3.4% 133 110 $63K
D1208 Topical application of fluoride, excluding varnish 3.3% 4,650 4,626 $62K
D0220 Intraoral - periapical first radiographic image 3.1% 4,876 4,245 $58K
14 more codes
D2140 3.1% 1,070 $58K
D9430 3.1% 1,810 $58K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 3.0% 122 $57K
D2160 2.6% 610 $49K
D4910 2.5% 603 $46K
D0330 Panoramic radiographic image 2.4% 1,523 $45K
D7240 Removal of impacted tooth - completely bony 1.1% 86 $20K
D4341 <1% 218 $15K
D0272 Bitewings - two radiographic images <1% 452 $5K
D7230 <1% 25 $5K
D2954 <1% 45 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 32 $2K
D2952 <1% 19 $2K
D0350 <1% 35 $336.00

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 officialLIM, ANDREW (PRESIDENT)
Same official

Other billing entities under LIM, ANDREW

Full network →
ProviderLocationPaid
Paramount Family Vision CenterParamount, CA$435K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.