Clinic
Dong Jin Kim, DDS, INC
Dong Jin Kim, DDS, INC was paid $424K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D9430, — 17% of everything it billed.
33Billing provider infoDONG JIN KIM, DDS, INC
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
33aNPI1346658622assigned 07/30/2014
33bProvider typeDental Clinic/Center
28Total paid$424K
24GClaims14,302
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#418 of 1,135
Median peer was paid$200K
This provider vs. median2.1×
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 | 307 | $15K | |
| 2019 | 220 | $8K | |
| 2020 | 574 | $21K | |
| 2021 | 1,015 | $31K | |
| 2022 | 2,143 | $52K | |
| 2023 | 3,906 | $101K | |
| 2024incomplete | 6,137 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 17% | 2,272 | 1,877 | $73K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 17% | 910 | 500 | $71K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 768 | 764 | $49K |
| D2751 | Crown - porcelain fused to predominantly base metal | 11% | 94 | 73 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 413 | 412 | $31K |
| D0350 | 6.4% | 2,826 | 1,032 | $27K | |
| D1110 | Prophylaxis - adult | 6.0% | 282 | 282 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 436 | 435 | $21K |
| D1206 | Topical application of fluoride varnish | 4.3% | 1,109 | 1,098 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 3,639 | 1,142 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 118 | 72 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 155 | 154 | $7K |
9 more codes
| D0330 | Panoramic radiographic image | 1.6% | 227 | $7K |
| D2394 | 1.2% | 59 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 177 | $4K |
| D4341 | <1% | 54 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 316 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 29 | $3K |
| D1320 | <1% | 187 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 56 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 175 | $2K |
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, CYNTHIA (OWNER)