DANIEL KIM
6122 W LAKE MEAD BLVD STE 105, LAS VEGAS, NV 89108
NPI Number
1225413149
Practice location · View on Google Maps
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $0 | |
| 2022 | $0 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 107 | $0 | 0.0% | $0 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,409 | $0 | 0.0% | $0 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 266 | $0 | 0.0% | $0 |
| D0220 | Single dental X-ray (of one tooth) | 442 | $0 | 0.0% | $0 |
| D0230 | Additional dental X-ray | 1,365 | $0 | 0.0% | $0 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 209 | $0 | 0.0% | $0 |
| D0120 | Regular dental checkup and exam | 294 | $0 | 0.0% | $0 |
| D1120 | Dental cleaning for children (prophylaxis) | 585 | $0 | 0.0% | $0 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 318 | $0 | 0.0% | $0 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 638 | $0 | 0.0% | $0 |
| D0272 | Dental X-ray — bitewings (two films) | 81 | $0 | 0.0% | $0 |
| D0274 | Dental X-ray — bitewings (four films) | 265 | $0 | 0.0% | $0 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 16 | $0 | 0.0% | $0 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 176 | $0 | 0.0% | $0 |