Clinic
Jason Kim Dental Corporation
Jason Kim Dental Corporation was paid $56K by Medicaid between Aug 2021 and Sep 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.
33Billing provider infoJASON KIM DENTAL CORPORATION
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1346857943assigned 09/28/2020
33bProvider typeDental Clinic/Center
28Total paid$56K
24GClaims2,745
24DCodes billed6
24AFirst – last monthAug 2021 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#776 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 526 | $11K | |
| 2022 | 703 | $14K | |
| 2023 | 874 | $16K | |
| 2024incomplete | 642 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32% | 269 | 269 | $18K |
| D1110 | Prophylaxis - adult | 28% | 173 | 173 | $15K |
| D0274 | Bitewings - four radiographic images | 15% | 397 | 397 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 1,502 | 477 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 371 | 371 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 33 | 33 | $3K |
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, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jason Kim DDS, INC | Fullerton, CA | $3K |
| Kim Medical Corporation | Fullerton, CA | $780.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.