Clinic
Jae Eun Kim, DMD Dentistry INC
Jae Eun Kim, DMD Dentistry INC was paid $43K by Medicaid between Nov 2022 and Nov 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoJAE EUN KIM, DMD DENTISTRY INC
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
33aNPI1043927015assigned 10/31/2022
33bProvider typeDental Clinic/Center
28Total paid$43K
24GClaims1,336
24DCodes billed15
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#812 of 1,135
Median peer was paid$200K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 17 | $1K | |
| 2023 | 208 | $5K | |
| 2024incomplete | 1,111 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 232 | 228 | $15K |
| D2751 | Crown - porcelain fused to predominantly base metal | 24% | 22 | 13 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 133 | 133 | $6K |
| D1320 | 7.4% | 213 | 213 | $3K | |
| D2954 | 5.6% | 23 | 13 | $2K | |
| D9430 | 5.2% | 70 | 62 | $2K | |
| D0330 | Panoramic radiographic image | 2.2% | 152 | 152 | $960.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 13 | 13 | $915.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 13 | 13 | $577.50 |
| D1206 | Topical application of fluoride varnish | 1.0% | 25 | 25 | $431.50 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | 13 | $216.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | 13 | $89.10 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKIM, JAE EUN (OWNER DENTIST)