Kim, Sook

Kim, Sook was paid $40K by Medicaid between Oct 2018 and Jul 2020, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 65% of everything it billed.

33Billing provider infoKIM, SOOK
DULUTH, GA 30096

33aNPI1043410293assigned 07/24/2007

33bProvider typeDentist

28Total paid$40K

24GClaims3,435

24DCodes billed11

24AFirst – last monthOct 2018 – Jul 2020

Compared with peers

Next to other Dentist providers in Georgia

Rank by total paid#33 of 55

Median peer was paid$64K

This provider vs. median0.6×

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	52	$0.00
2019	405	$7K
2020	2,978	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	65%	251	249	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	83	83	$8K
D1110	Prophylaxis - adult	6.9%	196	194	$3K
D0330	Panoramic radiographic image	3.8%	220	218	$1K
D1330		1.7%	335	331	$656.00
D1999		1.5%	15	15	$600.00
D0220	Intraoral - periapical first radiographic image	1.1%	374	366	$415.60
D1351	Sealant - per tooth	<1%	57	14	$308.00
D1120	Dental cleaning, childProphylaxis - child	<1%	68	67	$83.00
D0230	Intraoral - periapical each additional radiographic image	<1%	1,495	352	$7.35
D1208	Topical application of fluoride, excluding varnish	0%	341	337	$0.00

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.