KANG & KIM DDS, INC
NPI: 1972906808
· WEST COVINA, CA 91791
· Dentist
· NPI assigned 10/07/2014
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, CHOON (PRESIDENT) |
| NPI Enumeration Date | 10/07/2014 |
Related Entities
Other providers sharing the same authorized official: KIM, CHOON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
869 |
$21K |
| 2019 |
745 |
$19K |
| 2020 |
142 |
$2K |
| 2021 |
468 |
$16K |
| 2022 |
483 |
$14K |
| 2023 |
554 |
$19K |
| 2024 |
597 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
570 |
570 |
$32K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,657 |
1,542 |
$22K |
| D1110 |
Prophylaxis - adult |
223 |
223 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
203 |
201 |
$11K |
| D1120 |
Prophylaxis - child |
269 |
268 |
$9K |
| D4341 |
|
92 |
27 |
$6K |
| D0272 |
Bitewings - two radiographic images |
358 |
356 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
283 |
279 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
142 |
140 |
$2K |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$993.60 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$375.00 |