Dental
Kim, Jennifer
Kim, Jennifer was paid $217K by Medicaid between Jun 2018 and Jun 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoKIM, JENNIFER
HARTSDALE, NY 10530
HARTSDALE, NY 10530
33aNPI1033426390assigned 09/08/2010
33bProvider typePediatric Dentist
28Total paid$217K
24GClaims7,756
24DCodes billed14
24AFirst – last monthJun 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#243 of 514
Median peer was paid$196K
This provider vs. median1.1×
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 | 861 | $21K | |
| 2019 | 2,053 | $59K | |
| 2020 | 3,156 | $88K | |
| 2021 | 1,686 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,548 | 1,548 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,661 | 1,661 | $39K |
| D1351 | Sealant - per tooth | 18% | 1,057 | 347 | $39K |
| D1206 | Topical application of fluoride varnish | 8.1% | 621 | 621 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 1,115 | 1,115 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 264 | 159 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 168 | 87 | $9K |
| D0330 | Panoramic radiographic image | 3.2% | 236 | 236 | $7K |
| D0274 | Bitewings - four radiographic images | 3.0% | 264 | 264 | $7K |
| D1110 | Prophylaxis - adult | 3.0% | 155 | 155 | $7K |
| D0272 | Bitewings - two radiographic images | 2.6% | 406 | 406 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 74 | 53 | $5K |
2 more codes
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.