Grace Jiae Kim
NPI 1093207235ActiveIndividual· Dentist, Orthodontics and Dentofacial Orthopedics· Fort Lee, NJ
Opted out of Medicare from August 2022 to August 2028. Dentist, Orthodontics and Dentofacial Orthopedics in Fort Lee, New Jersey, licensed in NJ, TX and NY, with an NPI issued in June 2018. Lightforce Orthodontics, Inc. was the largest of 3 companies reporting payments in 2025, $359.15 in all, mostly food and beverage.
Overview
| NPI | 1093207235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 4, 2018 |
| Last updated in NPPES | Nov 29, 2022 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | 22DI02719500 | NJ |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 32361 | TX |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 059690 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 1, 2022 – Aug 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
- 2025$359.15 · 6 payments from 3 companies
- 2024$254.87 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lightforce Orthodontics, Inc. | $299.85 | 3 |
| Align Technology, Inc. | $37.25 | 2 |
| Dentsply Sirona Inc | $22.05 | 1 |
What the 2025 payments were for
- Food and Beverage$359.15 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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