Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Jae Y. Kim DDS INC.

Jae Y. Kim DDS INC. was paid $712K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.

33Billing provider infoJAE Y. KIM DDS INC.
BELL GARDENS, CA 90201
33aNPI1669650768assigned 01/31/2008
33bProvider typeDentist
28Total paid$712K
24GClaims25,117
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#647 of 2,314
Median peer was paid$185K
This provider vs. median3.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20184,122$95K
20194,391$117K
20203,136$74K
20213,497$80K
20223,636$115K
20233,611$129K
2024incomplete2,724$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 21% 2,749 2,731 $150K
D2150 Silver amalgam - two surfaces, primary or permanent 15% 1,623 969 $108K
D1120 Dental cleaning, childProphylaxis - child 13% 2,430 2,425 $92K
D1110 Prophylaxis - adult 11% 961 960 $81K
D0150 Comprehensive oral evaluation - new or established patient 7.4% 818 815 $53K
D1208 Topical application of fluoride, excluding varnish 5.4% 3,185 3,177 $39K
D7140 Extraction, erupted tooth or exposed root 5.4% 681 365 $38K
D0230 Intraoral - periapical each additional radiographic image 4.9% 8,492 3,569 $35K
D2751 Crown - porcelain fused to predominantly base metal 4.5% 67 48 $32K
D0272 Bitewings - two radiographic images 4.3% 2,654 2,649 $31K
D0210 Intraoral - complete series of radiographic images 4.0% 615 613 $29K
D1351 Sealant - per tooth 1.1% 353 94 $8K
5 more codes
D4341 <1% 80 $6K
D1206 Topical application of fluoride varnish <1% 279 $4K
D4910 <1% 42 $3K
D9430 <1% 74 $2K
D2160 <1% 14 $1K

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 (PRESIDENT)
Same official

Other billing entities under KIM, JAE

Full network →
ProviderLocationPaid
Reddy Gi AssociatesMesa, AZ$6.70M
Central Arizona Gi & Liver Institute LLCGilbert, AZ$1.70M
Smile Family Dental GroupNew York, NY$385K
Acumedi Health Center Acupuncture INC.Los Angeles, CA$23K
Kim Associates Medical Clinic, INC.West Covina, CA$386.40

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.