Dental
Kwon Dental Corporation
Kwon Dental Corporation was paid $1.73M by Medicaid between Oct 2019 and Dec 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoKWON DENTAL CORPORATION
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1720322449assigned 11/19/2012
33bProvider typeDentist
28Total paid$1.73M
24GClaims55,296
24DCodes billed26
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#323 of 2,314
Median peer was paid$185K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2019 | 12 | $360.00 | |
| 2020 | 476 | $18K | |
| 2021 | 6,827 | $213K | |
| 2022 | 12,652 | $418K | |
| 2023 | 17,219 | $531K | |
| 2024incomplete | 18,110 | $553K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,319 | 3,307 | $263K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,703 | 2,691 | $179K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 3,720 | 3,708 | $177K |
| D1110 | Prophylaxis - adult | 10% | 1,938 | 1,930 | $174K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 2,572 | 1,395 | $172K |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 2,051 | 2,041 | $98K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 18,923 | 4,667 | $90K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 1,587 | 967 | $87K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 5,188 | 5,173 | $71K |
| D1351 | Sealant - per tooth | 3.9% | 1,823 | 514 | $67K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.5% | 129 | 113 | $61K |
| D0274 | Bitewings - four radiographic images | 3.3% | 2,640 | 2,629 | $57K |
14 more codes
| D4910 | 2.7% | 621 | $48K | |
| D4341 | 2.4% | 603 | $42K | |
| D0350 | 2.1% | 3,404 | $37K | |
| D9430 | 1.5% | 790 | $25K | |
| D1310 | 1.3% | 493 | $22K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 189 | $15K |
| D1206 | Topical application of fluoride varnish | <1% | 430 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,023 | $12K |
| D0272 | Bitewings - two radiographic images | <1% | 771 | $9K |
| D9993 | <1% | 94 | $4K | |
| D0603 | <1% | 209 | $3K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 22 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 37 | $2K |
| D2331 | <1% | 17 | $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 officialKWON, OH JAE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Oj Kwon DDS, INC | Riverside, CA | $1.69M |
| Kwon DDS Professional Corporation | Perris, CA | $1.58M |
| Oh J. Kwon DDS, INC | Rialto, CA | $1.56M |
| Oh Jae Kwon Dental Corporation | Montebello, CA | $1.44M |
| Oh Jae Kwon, DDS, INC | Lake Elsinore, CA | $1.43M |
| O.J Kwon Dental Corporation | Montclair, CA | $339K |
| O. Kwon Dental Corporation | Indio, CA | $128K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.