Clinic
Kwang S. Kim DDS, INC
Kwang S. Kim DDS, INC was paid $158K by Medicaid between Jul 2020 and Nov 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoKWANG S. KIM DDS, INC
LOS ANGELES, CA 90065
LOS ANGELES, CA 90065
33aNPI1427670603assigned 05/11/2020
33bProvider typeDental Clinic/Center
28Total paid$158K
24GClaims3,569
24DCodes billed15
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#609 of 1,135
Median peer was paid$200K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 353 | $16K | |
| 2021 | 834 | $36K | |
| 2022 | 1,329 | $62K | |
| 2023 | 652 | $27K | |
| 2024incomplete | 401 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 561 | 561 | $37K |
| D1110 | Prophylaxis - adult | 21% | 413 | 413 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 262 | 105 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 9.6% | 329 | 327 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 179 | 179 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 198 | 69 | $11K |
| D9430 | 6.5% | 325 | 293 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 671 | 670 | $9K |
| D0330 | Panoramic radiographic image | 4.0% | 378 | 378 | $6K |
| D0350 | 1.2% | 73 | 66 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 81 | 81 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 26 | 26 | $1K |
3 more codes
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, KWANG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kwang Han Kim DDS, PL | New York, NY | $533K |
| K.S. Kim Dental INC | Van Nuys, CA | $306K |
| Kwang Jin Kim DDS | Hawthorne, CA | $44K |
| Kwang Seob Kim DDS INC | Hawaiian Gardens, CA | $37K |
| Kwang W Kim, DDS, PLLC | South Boston, VA | $13K |
| Koam Pharmacy INC | Artesia, CA | $519.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.