Dental
Oh Jae Kwon, DDS, INC
Oh Jae Kwon, DDS, INC was paid $1.43M by Medicaid between Feb 2018 and Nov 2024, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoOH JAE KWON, DDS, INC
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
33aNPI1740572197assigned 05/04/2011
33bProvider typeDentist
28Total paid$1.43M
24GClaims49,578
24DCodes billed25
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#379 of 2,314
Median peer was paid$185K
This provider vs. median7.7×
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 | 337 | $3K | |
| 2019 | 24 | $1K | |
| 2020 | 932 | $26K | |
| 2021 | 12,274 | $315K | |
| 2022 | 12,145 | $385K | |
| 2023 | 11,799 | $342K | |
| 2024incomplete | 12,067 | $354K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,265 | 3,237 | $247K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 2,807 | 2,802 | $186K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,048 | 4,024 | $182K |
| D1110 | Prophylaxis - adult | 9.7% | 1,552 | 1,545 | $138K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 19,420 | 4,845 | $100K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 1,445 | 980 | $97K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 1,743 | 1,737 | $83K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 5,145 | 5,115 | $69K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.5% | 136 | 114 | $64K |
| D0274 | Bitewings - four radiographic images | 4.2% | 2,802 | 2,783 | $60K |
| D1351 | Sealant - per tooth | 3.7% | 1,555 | 378 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 587 | 437 | $32K |
13 more codes
| D1310 | 1.4% | 429 | $19K | |
| D0350 | 1.3% | 1,784 | $19K | |
| D9430 | 1.2% | 561 | $18K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 145 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 895 | $11K |
| D9993 | <1% | 180 | $10K | |
| D1206 | Topical application of fluoride varnish | <1% | 360 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 538 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 64 | $5K |
| D0601 | <1% | 40 | $600.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $459.00 |
| D0270 | <1% | 53 | $265.00 | |
| D0602 | <1% | 12 | $180.00 |
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 officialKWON, OH JAE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kwon Dental Corporation | Moreno Valley, CA | $1.73M |
| 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 |
| 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.