Dental
Kim, Mary
Kim, Mary was paid $4K by Medicaid between Oct 2018 and Oct 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoKIM, MARY
NILES, IL 60714
NILES, IL 60714
33aNPI1053729467assigned 07/29/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims198
24DCodes billed5
24AFirst – last monthOct 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#907 of 1,017
Median peer was paid$123K
This provider vs. median0.0×
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 | 30 | $0.00 | |
| 2019 | 112 | $2K | |
| 2021 | 26 | $2K | |
| 2023 | 30 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 26 | 24 | $2K |
| D0999 | Unspecified diagnostic procedure, by report | 46% | 130 | 97 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 15 | 15 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | 12 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 15 | 15 | $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.