MI YOUNG KIM (D.M.D) – Dentist, NPI 1770965667
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
19 DENTIST in AL
Provider Addresses for MI YOUNG KIM (D.M.D)
328 OAKS DR
BIRMINGHAM, AL 352096978
Phone: (423) 505-3033
Type: Mailing
2830 VICTORY PKWY
CINCINNATI, OH 452061785
Phone: (513) 585-5505
Type: Mailing
222 PIEDMONT AVE STE 7300
CINCINNATI, OH 452194224
Phone: (513) 475-8783
Fax: (513) 475-8721
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($63).
Total Amount
$63
General + Research + Ownership
Payments
1
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $63 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210901001759 | I | Dentist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Maxillofacial Surgery | OH | |
| Maxillofacial Surgery, Oral Surgery | OH | |
| Nurse Practitioner | OH | |
| - | MS | |
| Maxillofacial Surgery, Oral Surgery | ME | |
| Oral Surgery, Maxillofacial Surgery, Maxillofacial Surgery | OH | |
| Oral Surgery, Oral And Maxillofacial Pathology | NC | |
| - | OH | |
| Oral Surgery | OH | |
| Oral Surgery | OH |
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