DONGSOO KIM, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · SHREVEPORT, LA

Individual Active NPI 1821016957

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024128410$240,135$48,495$37,009
2023124426$296,545$56,435$44,196
2022125457$377,164$78,210$61,319

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more61$61$38
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more43$33$26
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more39$62$49
70355X-ray of lower jaws, upper jaws and teeth30$9$4
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more27$33$22
70355X-ray of lower jaws, upper jaws and teeth21$9$7
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more17$77$59
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more11$77$44
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more11$91$54

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X15055RLA
Oral and Maxillofacial Surgery (Dentist)1223S0112X5542LA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Louisiana

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.