Clinic
DR. Dongwon Kim PC
DR. Dongwon Kim PC was paid $1.22M by Medicaid between Oct 2021 and Jun 2024, across 23 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 49% of everything it billed.
33Billing provider infoDR. DONGWON KIM PC
MATTAPAN, MA 02126
MATTAPAN, MA 02126
33aNPI1740955723assigned 08/12/2021
33bProvider typeDental Clinic/Center
28Total paid$1.22M
24GClaims11,966
24DCodes billed23
24AFirst – last monthOct 2021 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in Massachusetts
Rank by total paid#59 of 307
Median peer was paid$245K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2021 | 752 | $90K | |
| 2022 | 4,110 | $385K | |
| 2023 | 4,484 | $446K | |
| 2024incomplete | 2,620 | $300K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 49% | 876 | 573 | $599K |
| D2950 | 9.2% | 719 | 497 | $112K | |
| D1110 | Prophylaxis - adult | 7.9% | 1,843 | 1,794 | $97K |
| D0330 | Panoramic radiographic image | 5.8% | 1,235 | 1,195 | $71K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.5% | 470 | 225 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,049 | 1,018 | $45K |
| D0274 | Bitewings - four radiographic images | 3.7% | 1,573 | 1,541 | $45K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.8% | 48 | 45 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 1,305 | 1,282 | $30K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 572 | 550 | $23K |
| D3320 | 1.8% | 40 | 27 | $21K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 294 | 287 | $15K |
11 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 479 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 132 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 629 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 87 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 311 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 82 | $5K |
| D1351 | Sealant - per tooth | <1% | 116 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 37 | $3K |
| D2954 | <1% | 15 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 37 | $300.00 |
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 officialKIM, DONG (DMD)
| Provider | Location | Paid |
|---|---|---|
| DR. Dongwon Kim PC | Taunton, MA | $1.53M |
| 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 |
| Lee and Kim Dental Corporation | Artesia, CA | $10K |
| 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.