Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › HAWTHORNE › KWANG JIN KIM DDS

KWANG JIN KIM DDS

NPI: 1992105142 · HAWTHORNE, CA 90250 · Preferred Provider Organization · NPI assigned 08/25/2014

$44K
Total Medicaid Paid
1,965
Total Claims
1,336
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialKIM, KWANG (PRESIDENT)
NPI Enumeration Date08/25/2014

Related Entities

Other providers sharing the same authorized official: KIM, KWANG

ProviderCityStateTotal Paid
KWANG HAN KIM DDS, PL NEW YORK NY $533K
K.S. KIM DENTAL INC VAN NUYS CA $306K
KWANG S. KIM DDS, INC LOS ANGELES CA $158K
KWANG SEOB KIM DDS INC HAWAIIAN GARDENS CA $37K
KWANG W KIM, DDS, PLLC SOUTH BOSTON VA $13K
KOAM PHARMACY INC ARTESIA CA $519.54

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 479 $10K
2019 435 $13K
2020 563 $11K
2021 488 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 225 225 $18K
D0150 Comprehensive oral evaluation - new or established patient 121 121 $8K
D0120 Periodic oral evaluation - established patient 103 103 $4K
D1208 Topical application of fluoride, excluding varnish 364 363 $4K
D0230 Intraoral - periapical each additional radiographic image 911 283 $4K
D0274 Bitewings - four radiographic images 184 184 $4K
D0210 Intraoral - complete series of radiographic images 30 30 $1K
D1120 Prophylaxis - child 27 27 $810.00