Dental
JD Kim Professional Dental Corp.
JD Kim Professional Dental Corp. was paid $112K by Medicaid between Jul 2020 and Nov 2024, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 42% of everything it billed.
33Billing provider infoJD KIM PROFESSIONAL DENTAL CORP.
POMONA, CA 91768
POMONA, CA 91768
33aNPI1679131478assigned 06/05/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$112K
24GClaims3,546
24DCodes billed12
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,503 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 67 | $4K | |
| 2021 | 44 | $3K | |
| 2022 | 685 | $18K | |
| 2023 | 1,361 | $42K | |
| 2024incomplete | 1,389 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 42% | 724 | 715 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 445 | 438 | $18K |
| D0350 | 14% | 1,228 | 616 | $16K | |
| D0330 | Panoramic radiographic image | 11% | 411 | 411 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 91 | 91 | $5K |
| D1110 | Prophylaxis - adult | 4.1% | 57 | 57 | $5K |
| D1206 | Topical application of fluoride varnish | 4.1% | 298 | 298 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 144 | 125 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 12 | 12 | $925.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 79 | 79 | $916.00 |
| D9430 | <1% | 25 | 24 | $800.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 32 | 32 | $604.80 |
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, JOO HYUNG (CEO/DENTIST)