Dental
Henry S. Kwon, D.D.S. INC.
Henry S. Kwon, D.D.S. INC. was paid $3K by Medicaid between Jan 2018 and Jul 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.
33Billing provider infoHENRY S. KWON, D.D.S. INC.
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1558683649assigned 02/17/2010
33bProvider typeDentist
28Total paid$3K
24GClaims193
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,053 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 | 193 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 50% | 59 | 57 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 94 | 93 | $1K |
| D0272 | Bitewings - two radiographic images | 3.3% | 12 | 12 | $110.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 28 | 14 | $78.00 |
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 officialKWON, HENRY (PROVIDER/PRESIDENT)