Dental
Kwang W Kim, DDS, PLLC
Kwang W Kim, DDS, PLLC was paid $13K by Medicaid between Oct 2022 and Aug 2024, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoKWANG W KIM, DDS, PLLC
SOUTH BOSTON, VA 24592
SOUTH BOSTON, VA 24592
33aNPI1255061909assigned 06/15/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims1,505
24DCodes billed7
24AFirst – last monthOct 2022 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#337 of 549
Median peer was paid$29K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 26 | $628.80 | |
| 2023 | 682 | $13K | |
| 2024incomplete | 797 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 554 | 552 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 187 | 185 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 274 | 273 | $2K |
| D1110 | Prophylaxis - adult | 16% | 149 | 149 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 243 | 243 | $1K |
| D0274 | Bitewings - four radiographic images | 6.8% | 82 | 82 | $897.00 |
| D0272 | Bitewings - two radiographic images | 0% | 16 | 16 | $0.00 |
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 officialKIM, KWANG (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Kwang Han Kim DDS, PL | New York, NY | $533K |
| K.S. Kim Dental INC | Van Nuys, CA | $306K |
| Kwang S. Kim DDS, INC | Los Angeles, CA | $158K |
| Kwang Jin Kim DDS | Hawthorne, CA | $44K |
| Kwang Seob Kim DDS INC | Hawaiian Gardens, CA | $37K |
| Koam Pharmacy INC | Artesia, CA | $519.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.