Tony Jaewon Kim, DMD
NPI 1245853753ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· El Paso, TX
Dentist, Oral and Maxillofacial Surgery (DMD) in El Paso, Texas, licensed in TX, with an NPI issued in May 2020. Part D covered 11 prescriptions written in 2024, 100% of them generic. Integra Lifesciences Corporation reported $40.07 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1245853753 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 19, 2020 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 42246 | TX |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $92.53 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$40.07 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Integra Lifesciences Corporation | $40.07 | 1 |
What the 2024 payments were for
- Food and Beverage$40.07 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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