Dental
O. Kwon Dental Corporation
O. Kwon Dental Corporation was paid $128K by Medicaid between Nov 2023 and Dec 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoO. KWON DENTAL CORPORATION
INDIO, CA 92201
INDIO, CA 92201
33aNPI1356029433assigned 07/07/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$128K
24GClaims3,298
24DCodes billed13
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,453 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 143 | $7K | |
| 2024incomplete | 3,155 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 531 | 531 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 377 | 204 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 380 | 380 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 262 | 131 | $14K |
| D4341 | 7.3% | 138 | 51 | $9K | |
| D0350 | 5.4% | 714 | 235 | $7K | |
| D1110 | Prophylaxis - adult | 4.1% | 60 | 60 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 298 | 297 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 80 | 79 | $4K |
| D1351 | Sealant - per tooth | 1.4% | 46 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 384 | 86 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | 14 | $1K |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 13 | $280.80 |
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 officialKWON, OH JAE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kwon Dental Corporation | Moreno Valley, CA | $1.73M |
| Oj Kwon DDS, INC | Riverside, CA | $1.69M |
| Kwon DDS Professional Corporation | Perris, CA | $1.58M |
| Oh J. Kwon DDS, INC | Rialto, CA | $1.56M |
| Oh Jae Kwon Dental Corporation | Montebello, CA | $1.44M |
| Oh Jae Kwon, DDS, INC | Lake Elsinore, CA | $1.43M |
| O.J Kwon Dental Corporation | Montclair, CA | $339K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.