Clinic
Dana Kim, DMD, LLC
Dana Kim, DMD, LLC was paid $4.24M by Medicaid between May 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoDANA KIM, DMD, LLC
CHARLOTTE HALL, MD 20622
CHARLOTTE HALL, MD 20622
33aNPI1023517539assigned 02/09/2018
33bProvider typeDental Clinic/Center
28Total paid$4.24M
24GClaims113,524
24DCodes billed22
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#9 of 133
Median peer was paid$216K
This provider vs. median20×
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 | 12,061 | $432K | |
| 2019 | 19,022 | $664K | |
| 2020 | 15,530 | $559K | |
| 2021 | 18,410 | $692K | |
| 2022 | 15,789 | $545K | |
| 2023 | 15,331 | $586K | |
| 2024incomplete | 17,381 | $760K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 16,086 | 15,794 | $699K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 4,222 | 2,632 | $523K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 17,637 | 17,335 | $520K |
| D1206 | Topical application of fluoride varnish | 12% | 20,675 | 20,319 | $511K |
| D1351 | Sealant - per tooth | 11% | 13,906 | 4,789 | $475K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.8% | 2,117 | 852 | $332K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 2,644 | 1,991 | $256K |
| D1110 | Prophylaxis - adult | 4.8% | 3,365 | 3,320 | $203K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 1,215 | 712 | $133K |
| D0330 | Panoramic radiographic image | 2.8% | 2,745 | 2,693 | $117K |
| D0272 | Bitewings - two radiographic images | 2.1% | 5,941 | 5,826 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,676 | 1,648 | $88K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 4,513 | $82K |
| D0274 | Bitewings - four radiographic images | 1.7% | 3,188 | $72K |
| D1330 | 1.6% | 10,960 | $67K | |
| D1352 | <1% | 1,196 | $39K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 193 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 713 | $7K |
| D2940 | <1% | 121 | $6K | |
| D0240 | <1% | 312 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 59 | $3K |
| D0270 | <1% | 40 | $360.00 |
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 officialKEELER, AUDRA (OFFICE MANAGER)