Dental
Jesse Kim,dds.Inc
Jesse Kim,dds.Inc was paid $740K by Medicaid between Jan 2018 and Nov 2023, across 19 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 18% of everything it billed.
33Billing provider infoJESSE KIM,DDS.INC
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1437553682assigned 10/17/2014
33bProvider typeDentist
28Total paid$740K
24GClaims24,792
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Dentist providers in California
Rank by total paid#630 of 2,314
Median peer was paid$185K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 3,093 | $59K | |
| 2019 | 4,311 | $120K | |
| 2020 | 2,804 | $81K | |
| 2021 | 5,046 | $158K | |
| 2022 | 4,838 | $169K | |
| 2023 | 4,700 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18% | 1,974 | 1,075 | $132K |
| D1110 | Prophylaxis - adult | 14% | 1,225 | 1,223 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,481 | 1,479 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,471 | 1,470 | $82K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 1,747 | 1,745 | $62K |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 1,198 | 1,198 | $57K |
| D2160 | 6.5% | 607 | 408 | $48K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 8,580 | 1,650 | $38K |
| D2140 | 5.0% | 681 | 430 | $37K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 3,134 | 3,130 | $37K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,197 | 1,195 | $25K |
| D0350 | 1.3% | 1,000 | 663 | $9K |
7 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, JESSE (CEO)