Dental
Kim, Dong Woong
Kim, Dong Woong was paid $519K by Medicaid between Feb 2018 and Sep 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoKIM, DONG WOONG
FORT LEE, NJ 07024
FORT LEE, NJ 07024
33aNPI1457635112assigned 09/29/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$519K
24GClaims18,211
24DCodes billed15
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#113 of 790
Median peer was paid$43K
This provider vs. median12×
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 | 1,202 | $33K | |
| 2019 | 4,893 | $134K | |
| 2020 | 7,494 | $215K | |
| 2021 | 4,271 | $126K | |
| 2024incomplete | 351 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 4,091 | 4,091 | $97K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 2,673 | 2,673 | $89K |
| D1110 | Prophylaxis - adult | 13% | 1,541 | 1,541 | $66K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 806 | 526 | $63K |
| D1351 | Sealant - per tooth | 9.6% | 1,335 | 430 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 3,300 | 3,300 | $41K |
| D0274 | Bitewings - four radiographic images | 6.3% | 1,326 | 1,326 | $33K |
| D1206 | Topical application of fluoride varnish | 5.1% | 928 | 928 | $26K |
| D0330 | Panoramic radiographic image | 3.6% | 700 | 700 | $19K |
| D0272 | Bitewings - two radiographic images | 2.2% | 817 | 817 | $12K |
| D2394 | 1.7% | 77 | 55 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 100 | 72 | $7K |
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.