Dental
Joo, Ilcheon
Joo, Ilcheon was paid $5K by Medicaid between Jan 2021 and Dec 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoJOO, ILCHEON
PINE GROVE, PA 17963
PINE GROVE, PA 17963
33aNPI1063530509assigned 03/26/2007
33bProvider typeDentist
28Total paid$5K
24GClaims193
24DCodes billed4
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#528 of 683
Median peer was paid$34K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 69 | $2K | |
| 2024incomplete | 124 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 78 | 77 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 62 | 62 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 27 | 27 | $520.00 |
| D1330 | 6.0% | 26 | 26 | $288.08 |
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.