Dental
Salem Family Dental Care, P.C.
Salem Family Dental Care, P.C. was paid $83K by Medicaid between Jan 2018 and Jul 2019, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoSALEM FAMILY DENTAL CARE, P.C.
SALEM, MA 01970
SALEM, MA 01970
33aNPI1336413632assigned 03/05/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$83K
24GClaims2,398
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#354 of 693
Median peer was paid$87K
This provider vs. median1.0×
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 | 1,485 | $51K | |
| 2019 | 913 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 680 | 671 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 558 | 550 | $12K |
| D0274 | Bitewings - four radiographic images | 14% | 392 | 386 | $11K |
| D0330 | Panoramic radiographic image | 10% | 173 | 173 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 119 | 119 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 284 | 272 | $4K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 75 | 75 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 43 | 27 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 62 | 62 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $612.00 |
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, DONG (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR. Dongwon Kim PC | Taunton, MA | $1.53M |
| DR. Dongwon Kim PC | Mattapan, MA | $1.22M |
| Quabbin Valley Dental PC | Athol, MA | $1.01M |
| Shoe City Family Dental PC | Haverhill, MA | $138K |
| Rockport Family Dental PC | Rockport, MA | $92K |
| Dong S Kim DMD, PC | Lutherville, MD | $67K |
| Pine Dental PC | Fitchburg, MA | $16K |
| Lee and Kim Dental Corporation | Artesia, CA | $10K |
| Dong S. Kim, M.D., INC | Moreno Valley, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.