Medicaid Provider Spending

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

GAMINCHI AND KIM DENTAL CORPORATION

NPI: 1962549519 · LA MIRADA, CA 90638 · Periodontist · NPI assigned 01/31/2007

$21K
Total Medicaid Paid
1,079
Total Claims
859
Beneficiaries
6
Codes Billed
2018-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKIM, EMMA (CO-OWNER)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $364.94
2019 25 $2K
2020 519 $11K
2021 434 $9K
2022 23 $91.13
2024 23 $93.15

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 526 432 $16K
D0150 Comprehensive oral evaluation - new or established patient 25 24 $2K
D0230 Intraoral - periapical each additional radiographic image 356 246 $1K
D0274 Bitewings - four radiographic images 38 38 $728.28
D0220 Intraoral - periapical first radiographic image 119 105 $645.32
D0120 Periodic oral evaluation - established patient 15 14 $628.05