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

Hyung-Ju John Kim DDS INC

Hyung-Ju John Kim DDS INC was paid $7.86M by Medicaid between Jun 2018 and Apr 2023, across 33 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.

33Billing provider infoHYUNG-JU JOHN KIM DDS INC
FONTANA, CA 92335
33aNPI1710464060assigned 07/19/2018
28Total paid$7.86M
24GClaims245,261
24DCodes billed33
24AFirst – last monthJun 2018 – Apr 2023
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#59 of 2,668
Median peer was paid$173K
This provider vs. median46×

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$100K$200K2018201920202021202220232024
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
201816,173$683K
201937,798$1.54M
202047,776$1.50M
202165,243$1.83M
202258,990$1.72M
202319,281$590K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 15% 10,017 3,011 $1.20M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 13% 10,000 3,003 $993K
D2150 Silver amalgam - two surfaces, primary or permanent 9.5% 11,166 4,824 $748K
D1120 Dental cleaning, childProphylaxis - child 8.8% 18,765 18,699 $689K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.9% 10,496 10,460 $619K
D2140 6.4% 9,181 4,700 $501K
D0150 Comprehensive oral evaluation - new or established patient 5.7% 6,694 6,680 $445K
D0230 Intraoral - periapical each additional radiographic image 5.6% 82,888 19,560 $444K
D7140 Extraction, erupted tooth or exposed root 4.7% 6,408 3,303 $367K
D1208 Topical application of fluoride, excluding varnish 3.8% 19,284 19,203 $299K
D1310 3.5% 6,042 6,019 $272K
D1351 Sealant - per tooth 3.1% 9,505 3,563 $244K
21 more codes
D9993 2.0% 2,446 $154K
D0220 Intraoral - periapical first radiographic image 1.9% 12,341 $148K
D0145 Oral evaluation for a patient under three years of age 1.8% 2,297 $145K
D2160 1.6% 1,589 $127K
D0350 1.6% 9,753 $122K
D0272 Bitewings - two radiographic images 1.2% 7,904 $95K
D2330 <1% 953 $73K
D0603 <1% 5,006 $73K
D0210 Intraoral - complete series of radiographic images <1% 315 $15K
D0140 Limited oral evaluation - problem focused <1% 409 $14K
D0340 <1% 256 $13K
D8670 Periodic orthodontic treatment visit <1% 36 $11K
D1510 <1% 74 $10K
D0601 <1% 679 $10K
D1110 Prophylaxis - adult <1% 113 $10K
D0330 Panoramic radiographic image <1% 292 $9K
D2331 <1% 81 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 64 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 31 $2K
D0270 <1% 144 $720.00
D0602 <1% 32 $465.00

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 officialRANGEL, SANDRA (MANAGER)
Same official

Other billing entities under RANGEL, SANDRA

Full network →
ProviderLocationPaid
Hyung-Ju John Kim DDS INCBell, CA$7.67M
Jung and 3Kims Dental GroupSan Bernardino, CA$6.34M
Joel Kim DMD INCFontana, CA$2.56M
Children Dental World RiversideRiverside, CA$1.52M
Kids Dental R US ColtonColton, CA$692K

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