Dental
DR. Dongwon Kim PC
DR. Dongwon Kim PC was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoDR. DONGWON KIM PC
TAUNTON, MA 02780
TAUNTON, MA 02780
33aNPI1750523064assigned 04/01/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.53M
24GClaims36,831
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#74 of 693
Median peer was paid$87K
This provider vs. median18×
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 | 102 | $4K | |
| 2019 | 1,400 | $53K | |
| 2020 | 7,378 | $279K | |
| 2021 | 7,329 | $253K | |
| 2022 | 7,528 | $384K | |
| 2023 | 6,165 | $238K | |
| 2024incomplete | 6,929 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 4,998 | 4,797 | $263K |
| D2740 | Crown - porcelain/ceramic | 17% | 364 | 231 | $257K |
| D0274 | Bitewings - four radiographic images | 12% | 5,268 | 5,046 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 5,194 | 5,002 | $120K |
| D0330 | Panoramic radiographic image | 5.9% | 2,353 | 2,230 | $91K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 5,376 | 5,002 | $80K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.6% | 593 | 226 | $70K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 842 | 555 | $69K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 1,622 | 1,520 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 4,481 | 3,637 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 1,892 | 1,848 | $55K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 1,005 | 972 | $47K |
13 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 581 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 1,095 | $47K |
| D2950 | 1.8% | 181 | $28K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 410 | $26K |
| D1351 | Sealant - per tooth | <1% | 261 | $10K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 17 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 80 | $6K |
| D2332 | <1% | 51 | $5K | |
| D2394 | <1% | 34 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 35 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 18 | $702.00 |
| D1330 | <1% | 19 | $266.00 | |
| D1999 | 0% | 61 | $0.00 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 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 |
| 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.