Clinic
Minsoo Han DDS INC
Minsoo Han DDS INC was paid $180K by Medicaid between Dec 2020 and Dec 2024, across 18 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoMINSOO HAN DDS INC
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1427696277assigned 12/11/2019
33bProvider typeDental Clinic/Center
28Total paid$180K
24GClaims4,241
24DCodes billed18
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#582 of 1,135
Median peer was paid$200K
This provider vs. median0.9×
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 | 12 | $789.00 | |
| 2021 | 524 | $20K | |
| 2022 | 1,522 | $42K | |
| 2023 | 942 | $36K | |
| 2024incomplete | 1,241 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 735 | 729 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 337 | 333 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 472 | 466 | $23K |
| D9430 | 7.5% | 423 | 386 | $14K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 6.6% | 25 | 13 | $12K |
| D2740 | Crown - porcelain/ceramic | 6.4% | 24 | 12 | $11K |
| D1110 | Prophylaxis - adult | 4.1% | 84 | 84 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 122 | 120 | $6K |
| D0274 | Bitewings - four radiographic images | 3.0% | 263 | 263 | $5K |
| D2954 | 2.9% | 50 | 29 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 98 | 45 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 339 | 339 | $5K |
6 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 55 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 815 | $3K |
| D0350 | 1.2% | 241 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 102 | $1K |
| D4910 | <1% | 14 | $1K |
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 officialHAN, MIN SOO (CEO)