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Kyung Ah Chung, DDS

Pediatric Dentistry · Cupertino

NPI 1477172229

Medicare standing
1 flag on the record
Listed below.
Plans that list them
1
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Chung’s office at (669) 777-3215 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

California Medical Board record

Licence A108341 · Cancelled

Licence status: Cancelled · since 2009 · University of Alabama School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$130,921 in 2024

Medicaid paid $130,921 for 5,019 billed services this clinician did in 2024, up to 84 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service567$28,356
Service275$16,978
Service250$16,031
Service276$10,920
Service225$9,936
Service146$9,528
Service233$8,894
Service1,850$7,440
Service349$6,648
Service78$4,207
Service192$3,827
Service194$2,796
Medicaid work by year
20245,0191584$130,921
20232,8351896$72,034
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service375$17,802
Service186$11,965
Service171$6,808
Service165$6,083
Service1,203$4,894
Service76$4,838
Service242$4,415
Service71$3,300
Service61$2,806
Service22$2,640
Service29$1,474
Service71$1,306

Professional record

NPI
1477172229
Licence
CA 108341California A108341: Cancelled
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223P0221X (1223P0221X)
Mailing address
10430 S De Anza Blvd Ste 260, Cupertino, CA, 95014
NPI first listed
2020-04-13
NPI last updated
2025-01-31
NPI record certified
2025-01-31

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4200 East Ave Ste 100, Livermore, CA, 94550 · 2664 Berryessa Rd Ste 108, San Jose, CA, 95132