Clinic
Matthew Kim Dental Corp
Matthew Kim Dental Corp was paid $587K by Medicaid between Nov 2021 and Mar 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoMATTHEW KIM DENTAL CORP
MANTECA, CA 95337
MANTECA, CA 95337
33aNPI1659943280assigned 07/13/2021
33bProvider typeDental Clinic/Center
28Total paid$587K
24GClaims14,698
24DCodes billed19
24AFirst – last monthNov 2021 – Mar 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#343 of 1,135
Median peer was paid$200K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2021 | 1,131 | $34K | |
| 2022 | 5,759 | $223K | |
| 2023 | 6,725 | $283K | |
| 2024incomplete | 1,083 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,584 | 1,555 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,129 | 2,102 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,460 | 1,453 | $96K |
| D1110 | Prophylaxis - adult | 11% | 744 | 738 | $66K |
| D0210 | Intraoral - complete series of radiographic images | 8.4% | 1,034 | 1,023 | $49K |
| D1351 | Sealant - per tooth | 6.4% | 997 | 201 | $38K |
| D0274 | Bitewings - four radiographic images | 5.5% | 1,518 | 1,499 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 1,970 | 1,945 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 207 | 163 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 829 | 784 | $10K |
| D9430 | 1.6% | 287 | 281 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 1,660 | 827 | $7K |
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, MATTHEW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pearland Children's Center, PA | Pearland, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.