Clinic
Jaesung Kim DMD INC
Jaesung Kim DMD INC was paid $14K by Medicaid between Sep 2020 and Jun 2022, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 54% of everything it billed.
33Billing provider infoJAESUNG KIM DMD INC
OCEANSIDE, CA 92058
OCEANSIDE, CA 92058
33aNPI1932750767assigned 09/23/2019
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims251
24DCodes billed4
24AFirst – last monthSep 2020 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#935 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 24 | $2K | |
| 2021 | 186 | $10K | |
| 2022 | 41 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 54% | 111 | 111 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 26% | 73 | 73 | $3K |
| D1110 | Prophylaxis - adult | 16% | 25 | 25 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 42 | 42 | $586.00 |
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, JAESUNG (DOCTOR/OWNER)
| Provider | Location | Paid |
|---|---|---|
| 3C Community Clinic | Los Angeles, CA | $888K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.