Dental
Bom Seok Jeon, DDS, INC
Bom Seok Jeon, DDS, INC was paid $709K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoBOM SEOK JEON, DDS, INC
FULLERTON, CA 92833
FULLERTON, CA 92833
33aNPI1780030304assigned 05/12/2016
33bProvider typeDentist
28Total paid$709K
24GClaims19,657
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#648 of 2,314
Median peer was paid$185K
This provider vs. median3.8×
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 | 2,909 | $57K | |
| 2019 | 3,231 | $97K | |
| 2020 | 2,440 | $84K | |
| 2021 | 2,803 | $113K | |
| 2022 | 3,104 | $136K | |
| 2023 | 3,453 | $141K | |
| 2024incomplete | 1,717 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 1,789 | 1,780 | $154K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,156 | 2,146 | $132K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,648 | 1,639 | $103K |
| D7140 | Extraction, erupted tooth or exposed root | 14% | 1,848 | 1,109 | $102K |
| D9430 | 6.6% | 1,468 | 1,463 | $47K | |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 1,008 | 1,002 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 2,596 | 2,577 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 450 | 179 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 4,531 | 1,320 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 394 | 394 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,104 | 1,095 | $13K |
| D2330 | 1.1% | 98 | 41 | $8K |
5 more codes
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 officialJEON, BOM SEOK (PRESIDENT)