Dental
Snow White Dental Office, Weonsuk Jang, D.M.D., INC.
Snow White Dental Office, Weonsuk Jang, D.M.D., INC. was paid $61K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoSNOW WHITE DENTAL OFFICE, WEONSUK JANG, D.M.D., INC.
CITRUS HEIGHTS, CA 95621
CITRUS HEIGHTS, CA 95621
33aNPI1306035456assigned 10/15/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$61K
24GClaims1,617
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,723 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2018 | 170 | $3K | |
| 2019 | 244 | $7K | |
| 2020 | 219 | $9K | |
| 2021 | 250 | $11K | |
| 2022 | 227 | $8K | |
| 2023 | 45 | $687.40 | |
| 2024incomplete | 462 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 205 | 205 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 193 | 78 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 133 | 133 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 419 | 418 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 339 | 332 | $5K |
| D9110 | 5.6% | 59 | 59 | $3K | |
| D9430 | 4.8% | 100 | 89 | $3K | |
| D2330 | 4.1% | 33 | 12 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 42 | 42 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 26 | 26 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 38 | 37 | $430.00 |
| D0330 | Panoramic radiographic image | <1% | 14 | 14 | $415.25 |
1 more codes
| D0350 | <1% | 16 | $240.00 |
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 officialJANG, WEONSUK (OWNER)