Dental
Oh Jae Kwon Dental Corporation
Oh Jae Kwon Dental Corporation was paid $1.44M by Medicaid between Apr 2019 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 11% of everything it billed.
33Billing provider infoOH JAE KWON DENTAL CORPORATION
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1356812689assigned 12/16/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.44M
24GClaims37,670
24DCodes billed24
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#416 of 2,668
Median peer was paid$173K
This provider vs. median8.3×
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 | |
|---|---|---|---|
| 2019 | 2,589 | $87K | |
| 2020 | 1,910 | $54K | |
| 2021 | 4,438 | $129K | |
| 2022 | 6,495 | $227K | |
| 2023 | 10,331 | $437K | |
| 2024incomplete | 11,907 | $506K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,269 | 2,254 | $165K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,480 | 2,478 | $164K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,444 | 1,215 | $164K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,859 | 1,078 | $155K |
| D1110 | Prophylaxis - adult | 7.8% | 1,256 | 1,246 | $112K |
| D2751 | Crown - porcelain fused to predominantly base metal | 7.7% | 232 | 168 | $110K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 2,027 | 2,020 | $97K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 2,170 | 2,166 | $96K |
| D4341 | 6.1% | 1,269 | 382 | $88K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 3,908 | 3,883 | $54K |
| D0350 | 3.6% | 5,301 | 1,589 | $52K | |
| D4910 | 2.9% | 546 | 546 | $42K |
12 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 1,564 | $34K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 266 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 7,587 | $31K |
| D9430 | 1.4% | 628 | $20K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 120 | $10K |
| D1351 | Sealant - per tooth | <1% | 268 | $6K |
| D0330 | Panoramic radiographic image | <1% | 158 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 254 | $3K |
| D9993 | <1% | 13 | $845.00 | |
| D1310 | <1% | 13 | $598.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | $144.00 |
| D0270 | <1% | 26 | $130.00 |
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 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, DDS, INC | Lake Elsinore, CA | $1.43M |
| O.J Kwon Dental Corporation | Montclair, CA | $339K |
| O. Kwon Dental Corporation | Indio, CA | $128K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.