Clinic
Keon-Jung Kim Dental Corporation
Keon-Jung Kim Dental Corporation was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoKEON-JUNG KIM DENTAL CORPORATION
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1932315298assigned 05/15/2007
33bProvider typeDental Clinic/Center
28Total paid$1.30M
24GClaims36,616
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#202 of 1,135
Median peer was paid$200K
This provider vs. median6.5×
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 | 7,617 | $224K | |
| 2019 | 6,253 | $210K | |
| 2020 | 3,938 | $128K | |
| 2021 | 4,679 | $166K | |
| 2022 | 5,024 | $203K | |
| 2023 | 4,825 | $192K | |
| 2024incomplete | 4,280 | $174K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,543 | 3,534 | $199K |
| D1110 | Prophylaxis - adult | 14% | 2,047 | 2,044 | $176K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,174 | 1,339 | $144K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 2,495 | 1,431 | $134K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 1,469 | 1,464 | $88K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 2,251 | 2,244 | $86K |
| D4910 | 5.2% | 871 | 864 | $67K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 6,122 | 3,141 | $61K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 1,298 | 1,291 | $61K |
| D0350 | 4.0% | 3,585 | 2,597 | $53K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 3,939 | 3,929 | $48K |
| D0330 | Panoramic radiographic image | 2.7% | 1,254 | 1,252 | $36K |
12 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 1,288 | $25K |
| D4341 | 1.9% | 345 | $24K | |
| D9430 | 1.6% | 652 | $21K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 166 | $19K |
| D0272 | Bitewings - two radiographic images | 1.2% | 1,436 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,322 | $15K |
| D9110 | <1% | 138 | $9K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 35 | $8K |
| D2330 | <1% | 73 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 33 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 36 | $2K |
| D1999 | <1% | 44 | $10.00 |
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, KEON-JUNG (OWNER)