Medicaid Provider Spending

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

DR KIM DENTAL CORPORATION

NPI: 1952874810 · LA HABRA, CA 90631 · General Practice Dentistry · NPI assigned 01/03/2019

$72K
Total Medicaid Paid
3,003
Total Claims
2,058
Beneficiaries
12
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIM, SEUNG HWAN (CEO/PRESIDENT)
NPI Enumeration Date01/03/2019

Related Entities

Other providers sharing the same authorized official: KIM, SEUNG HWAN

ProviderCityStateTotal Paid
SEUNG HWAN KIM, DDS, INC GARDEN GROVE CA $260K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 91 $4K
2020 153 $5K
2021 50 $309.00
2022 413 $5K
2023 1,047 $26K
2024 1,249 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 286 286 $19K
D9430 375 347 $12K
D0210 Intraoral - complete series of radiographic images 240 240 $11K
D0120 Periodic oral evaluation - established patient 115 115 $9K
D1208 Topical application of fluoride, excluding varnish 493 490 $7K
D1110 Prophylaxis - adult 55 54 $5K
D0230 Intraoral - periapical each additional radiographic image 1,103 248 $4K
D1120 Prophylaxis - child 50 50 $3K
D0274 Bitewings - four radiographic images 44 44 $950.40
D0350 83 26 $748.80
D0330 Panoramic radiographic image 12 12 $360.00
D1330 147 146 $0.00