Elly Bunsun Kim, D.D.S.
NPI 1104174168ActiveIndividual· Dentist, General Practice· Albuquerque, NM
Dentist, General Practice (D.D.S.) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in August 2012. Part D covered 119 prescriptions written in 2024, 17% of them generic.
Overview
| NPI | 1104174168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Aug 24, 2012 |
| Last updated in NPPES | Aug 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DD3755 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 119 · 230 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $2,794 |
| Generic share | 17% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 407 general dentists in Albuquerque · All general dentists in New Mexico