Clinic
Lee and Kim Dental Corporation
Lee and Kim Dental Corporation was paid $10K by Medicaid between Jan 2018 and Sep 2022, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 74% of everything it billed.
33Billing provider infoLEE AND KIM DENTAL CORPORATION
ARTESIA, CA 90701
ARTESIA, CA 90701
33aNPI1700277845assigned 02/11/2015
33bProvider typeDental Clinic/Center
28Total paid$10K
24GClaims519
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#967 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | 163 | $2K | |
| 2019 | 113 | $3K | |
| 2020 | 40 | $1K | |
| 2021 | 166 | $801.85 | |
| 2022 | 37 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 74% | 128 | 128 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 293 | 93 | $1K |
| D0330 | Panoramic radiographic image | 8.3% | 30 | 30 | $840.00 |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 50 | 50 | $566.00 |
| D0274 | Bitewings - four radiographic images | 1.3% | 18 | 18 | $129.60 |
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, DONG (DDS)
| Provider | Location | Paid |
|---|---|---|
| DR. Dongwon Kim PC | Taunton, MA | $1.53M |
| DR. Dongwon Kim PC | Mattapan, MA | $1.22M |
| Quabbin Valley Dental PC | Athol, MA | $1.01M |
| Shoe City Family Dental PC | Haverhill, MA | $138K |
| Rockport Family Dental PC | Rockport, MA | $92K |
| Salem Family Dental Care, P.C. | Salem, MA | $83K |
| Dong S Kim DMD, PC | Lutherville, MD | $67K |
| Pine Dental PC | Fitchburg, MA | $16K |
| Dong S. Kim, M.D., INC | Moreno Valley, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.