Baek, Moon Sik

Baek, Moon Sik was paid $27K by Medicaid between Jun 2023 and Nov 2024, across 4 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 58% of everything it billed.

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
2023	337	$12K
2024incomplete	506	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	58%	316	306	$16K
V2020	Frames, purchases	32%	483	476	$9K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	7.9%	31	31	$2K
V2784	Lens, polycarbonate or equal, any index, per lens	1.7%	13	13	$458.78

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.