DONGSOO KIM, DMD, MD
Oral & Maxillofacial Surgery (D.M.D.) · SHREVEPORT, LA
Individual Active NPI 1821016957
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 128 | 410 | $240,135 | $48,495 | $37,009 |
| 2023 | 124 | 426 | $296,545 | $56,435 | $44,196 |
| 2022 | 125 | 457 | $377,164 | $78,210 | $61,319 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 | $61 | $38 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 43 | $33 | $26 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 39 | $62 | $49 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 30 | $9 | $4 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 27 | $33 | $22 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 21 | $9 | $7 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 17 | $77 | $59 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $77 | $44 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 11 | $91 | $54 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | ✓ | 15055R | LA |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5542 | LA |
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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- NPI 1104095520
- NPI 1942297734
- NPI 1033544010
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- NPI 1417981739
- NPI 1356345250
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See all Oral & Maxillofacial Surgery (D.M.D.) providers in Louisiana →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.