SJ Kang Dental One, PLLC

SJ Kang Dental One, PLLC was paid $15K by Medicaid between Jul 2023 and May 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 33% of everything it billed.

33Billing provider infoSJ KANG DENTAL ONE, PLLC
GRAND PRAIRIE, TX 75050

33aNPI1891492021assigned 02/08/2023

33bProvider typeDentist

28Total paid$15K

24GClaims712

24DCodes billed9

24AFirst – last monthJul 2023 – May 2024

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,017 of 1,678

Median peer was paid$35K

This provider vs. median0.4×

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
2023	531	$13K
2024incomplete	181	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	33%	47	19	$5K
D0150	Comprehensive oral evaluation - new or established patient	18%	77	77	$3K
D0230	Intraoral - periapical each additional radiographic image	15%	222	107	$2K
D1208	Topical application of fluoride, excluding varnish	10%	105	105	$2K
D0220	Intraoral - periapical first radiographic image	8.3%	110	108	$1K
D1110	Prophylaxis - adult	6.3%	17	17	$932.96
D0274	Bitewings - four radiographic images	5.1%	24	24	$761.42
D1120	Dental cleaning, childProphylaxis - child	3.5%	15	15	$514.50
D0603		0%	95	94	$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 officialRYU, HOJOONG (MANAGING MEMBER)