Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Bernardino › NPI 1841316437
Dental

DR. Jeffrey J Kim's Dental, INC.

DR. Jeffrey J Kim's Dental, INC. was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 17% of everything it billed.

33Billing provider infoDR. JEFFREY J KIM'S DENTAL, INC.
SAN BERNARDINO, CA 92401
33aNPI1841316437assigned 03/22/2007
33bProvider typeDentist
28Total paid$1.18M
24GClaims40,385
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#436 of 2,314
Median peer was paid$185K
This provider vs. median6.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20187,428$206K
20195,968$185K
20204,151$99K
20215,379$141K
20226,405$198K
20235,924$184K
2024incomplete5,130$162K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2150 Silver amalgam - two surfaces, primary or permanent 17% 3,002 1,528 $201K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 14% 1,449 849 $170K
D1110 Prophylaxis - adult 14% 1,964 1,960 $160K
D0150 Comprehensive oral evaluation - new or established patient 12% 2,214 2,199 $138K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.5% 2,140 2,127 $111K
D1120 Dental cleaning, childProphylaxis - child 5.5% 1,763 1,758 $64K
D0230 Intraoral - periapical each additional radiographic image 5.4% 15,725 3,802 $63K
D0274 Bitewings - four radiographic images 4.4% 2,429 2,422 $51K
D1208 Topical application of fluoride, excluding varnish 3.8% 3,667 3,659 $45K
D0210 Intraoral - complete series of radiographic images 3.6% 902 898 $42K
D2140 3.3% 713 438 $39K
D9110 1.6% 317 265 $19K
9 more codes
D0220 Intraoral - periapical first radiographic image 1.5% 1,488 $18K
D0350 1.4% 1,864 $17K
D2751 Crown - porcelain fused to predominantly base metal 1.3% 33 $16K
D9430 <1% 253 $8K
D4341 <1% 53 $4K
D2160 <1% 38 $3K
D0272 Bitewings - two radiographic images <1% 242 $3K
D1351 Sealant - per tooth <1% 113 $2K
D2954 <1% 16 $2K

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, JEFFREY (OWNER)
Same official

Other billing entities under KIM, JEFFREY

Full network →
ProviderLocationPaid
Hampton Family DentistryMiddletown, NY$6K
Primary Care Dental PCHartsdale, NY$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.