Dental
Grace Kim Dental Corporation
Grace Kim Dental Corporation was paid $60K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoGRACE KIM DENTAL CORPORATION
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1932578101assigned 09/17/2015
33bProvider typeDentist
28Total paid$60K
24GClaims3,640
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,510 of 2,314
Median peer was paid$185K
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 | 367 | $4K | |
| 2019 | 435 | $9K | |
| 2020 | 612 | $7K | |
| 2021 | 721 | $9K | |
| 2022 | 499 | $11K | |
| 2023 | 699 | $16K | |
| 2024incomplete | 307 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 187 | 186 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 840 | 836 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 1,934 | 582 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 105 | 105 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 215 | 214 | $7K |
| D1110 | Prophylaxis - adult | 9.8% | 67 | 67 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 70 | 28 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 7.5% | 101 | 100 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 22 | 12 | $1K |
| D9430 | 1.5% | 29 | 27 | $928.00 | |
| D0274 | Bitewings - four radiographic images | 1.3% | 37 | 37 | $766.80 |
| D0350 | <1% | 33 | 13 | $326.40 |
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, GRACE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Daniel K. Kim, DDS, INC | Riverside, CA | $523K |
| Daniel K. Kim, DDS, INC | Anaheim, CA | $475K |
| Longmont Eyecare, PLLC | Longmont, CO | $140K |
| Infectious Disease Specialists of Connecticut, LLC | Bridgeport, CT | $115K |
| Grand Mesa Nephrology PLLC | Grand Junction, CO | $74K |
| Welcome Medical Supplies, INC | Garden Grove, CA | $59K |
| Grace Kim MD Endocrine INC | San Carlos, CA | $7K |
| Twin Cities Psychological Services, LTD. | Minneapolis, MN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.