Kwon, Jihae

Kwon, Jihae was paid $14K by Medicaid between Sep 2018 and Jan 2020, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoKWON, JIHAE
FORT LEE, NJ 07024

33aNPI1760898472assigned 07/02/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims741

24DCodes billed9

24AFirst – last monthSep 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#511 of 790

Median peer was paid$43K

This provider vs. median0.3×

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
2018	254	$6K
2019	432	$7K
2020	55	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	151	151	$4K
D1110	Prophylaxis - adult	23%	79	79	$3K
D0230	Intraoral - periapical each additional radiographic image	15%	189	189	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.7%	23	13	$1K
D0220	Intraoral - periapical first radiographic image	8.2%	218	217	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.9%	16	13	$1K
D1120	Dental cleaning, childProphylaxis - child	5.7%	18	18	$810.00
D1208	Topical application of fluoride, excluding varnish	3.4%	19	19	$475.00
D0274	Bitewings - four radiographic images	2.3%	28	28	$328.00

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.