Dental
Jin Anaheim Park DDS, INC
Jin Anaheim Park DDS, INC was paid $123K by Medicaid between Jan 2018 and May 2020, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoJIN ANAHEIM PARK DDS, INC
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1538513098assigned 04/20/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$123K
24GClaims2,908
24DCodes billed13
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,463 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | 632 | $21K | |
| 2019 | 1,626 | $72K | |
| 2020 | 650 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 596 | 595 | $35K |
| D1110 | Prophylaxis - adult | 12% | 184 | 184 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 336 | 333 | $15K |
| D9430 | 11% | 445 | 395 | $13K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 138 | 52 | $9K |
| D2335 | 6.5% | 67 | 20 | $8K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 141 | 41 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 496 | 496 | $5K |
| D0330 | Panoramic radiographic image | 3.8% | 222 | 220 | $5K |
| D0350 | 3.1% | 155 | 127 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 24 | 12 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 91 | 91 | $3K |
1 more codes
| D0120 | Dental checkup, returning patient | <1% | 13 | $540.00 |
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, JOHN (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.