Managed care
Kwang Jin Kim DDS
Kwang Jin Kim DDS was paid $44K by Medicaid between Jan 2018 and Jul 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoKWANG JIN KIM DDS
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1992105142assigned 08/25/2014
33bProvider typePreferred Provider Organization
28Total paid$44K
24GClaims1,965
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#59 of 100
Median peer was paid$80K
This provider vs. median0.5×
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 | 479 | $10K | |
| 2019 | 435 | $13K | |
| 2020 | 563 | $11K | |
| 2021 | 488 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 225 | 225 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 121 | 121 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 103 | 103 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 364 | 363 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 911 | 283 | $4K |
| D0274 | Bitewings - four radiographic images | 8.5% | 184 | 184 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 30 | 30 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 27 | 27 | $810.00 |
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, KWANG (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kwang Han Kim DDS, PL | New York, NY | $533K |
| K.S. Kim Dental INC | Van Nuys, CA | $306K |
| Kwang S. Kim DDS, INC | Los Angeles, CA | $158K |
| Kwang Seob Kim DDS INC | Hawaiian Gardens, CA | $37K |
| Kwang W Kim, DDS, PLLC | South Boston, VA | $13K |
| Koam Pharmacy INC | Artesia, CA | $519.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.