Dental
Jae J. Kim, D.D.S., INC
Jae J. Kim, D.D.S., INC was paid $6K by Medicaid between Mar 2018 and Sep 2019, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.
33Billing provider infoJAE J. KIM, D.D.S., INC
ROWLAND HEIGHTS, CA 91748
ROWLAND HEIGHTS, CA 91748
33aNPI1487045944assigned 02/05/2015
33bProvider typeDentist
28Total paid$6K
24GClaims112
24DCodes billed4
24AFirst – last monthMar 2018 – Sep 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,976 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 72 | $3K | |
| 2019 | 40 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 60% | 53 | 52 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 24 | 24 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 14 | 14 | $585.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 21 | 12 | $120.00 |
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 officialKIM, JAE JONG (PRESIDENT)