Dongsu Kim, DDS
NPI 1730884560ActiveIndividual· Dentist, General Practice· Daytona Beach, FL
Dentist, General Practice (DDS) in Daytona Beach, Florida, licensed in FL, with an NPI issued in April 2023. Revance Therapeutics, Inc. reported $99.12 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1730884560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 3, 2023 |
| Last updated in NPPES | Jan 8, 2025 |
| Certified by provider | Jan 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN28875 | FL |
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 |
|---|
Industry payments (Open Payments)
- 2025$99.12 · 1 payment from 1 company
- 2024$219.69 · 7 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $99.12 | 1 |
What the 2025 payments were for
- Food and Beverage$99.12 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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