Jin Moo Kim
NPI 1104619360ActiveIndividual· Dentist· Conyers, GA
Dentist in Conyers, Georgia, licensed in GA, with an NPI issued in May 2025. Orapharma, A Division of Bausch Health US, LLC reported $22.80 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1104619360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 28, 2025 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D123926 | GA |
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 |
|---|
Industry payments (Open Payments)
- 2025$22.80 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Orapharma, A Division of Bausch Health US, LLC | $22.80 | 1 |
What the 2025 payments were for
- Food and Beverage$22.80 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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