Dental
Oh J. Kwon DDS, INC
Oh J. Kwon DDS, INC was paid $1.56M by Medicaid between Feb 2020 and Nov 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoOH J. KWON DDS, INC
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1235286758assigned 01/05/2007
33bProvider typeDentist
28Total paid$1.56M
24GClaims52,553
24DCodes billed29
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#349 of 2,314
Median peer was paid$185K
This provider vs. median8.4×
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 | |
|---|---|---|---|
| 2020 | 1,773 | $59K | |
| 2021 | 13,089 | $358K | |
| 2022 | 12,826 | $382K | |
| 2023 | 13,797 | $404K | |
| 2024incomplete | 11,068 | $359K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 3,269 | 1,813 | $218K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,833 | 2,805 | $210K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,691 | 2,683 | $178K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,827 | 3,795 | $170K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.8% | 2,822 | 1,293 | $153K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 18,445 | 3,923 | $88K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 1,648 | 1,643 | $79K |
| D0274 | Bitewings - four radiographic images | 3.8% | 2,733 | 2,712 | $59K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 4,452 | 4,417 | $58K |
| D1351 | Sealant - per tooth | 3.4% | 1,721 | 506 | $53K |
| D1110 | Prophylaxis - adult | 3.2% | 559 | 559 | $50K |
| D0350 | 2.9% | 3,806 | 1,746 | $45K |
17 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 530 | $42K |
| D4341 | 2.2% | 498 | $34K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.9% | 63 | $30K |
| D4910 | 1.6% | 328 | $25K | |
| D9430 | 1.6% | 779 | $25K | |
| D2954 | <1% | 83 | $9K | |
| D1310 | <1% | 134 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 458 | $5K |
| D0330 | Panoramic radiographic image | <1% | 160 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 392 | $5K |
| D9993 | <1% | 81 | $5K | |
| D4342 | <1% | 106 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 16 | $2K |
| D2330 | <1% | 22 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 42 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 43 | $1K |
| D0601 | <1% | 12 | $180.00 |
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 officialKWON, OH JAE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kwon Dental Corporation | Moreno Valley, CA | $1.73M |
| Oj Kwon DDS, INC | Riverside, CA | $1.69M |
| Kwon DDS Professional Corporation | Perris, CA | $1.58M |
| Oh Jae Kwon Dental Corporation | Montebello, CA | $1.44M |
| Oh Jae Kwon, DDS, INC | Lake Elsinore, CA | $1.43M |
| O.J Kwon Dental Corporation | Montclair, CA | $339K |
| O. Kwon Dental Corporation | Indio, CA | $128K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.