Moon, Taehyung

Moon, Taehyung was paid $70K by Medicaid between Jan 2018 and Dec 2019, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoMOON, TAEHYUNG
MACHESNEY PARK, IL 61115

33aNPI1083902308assigned 07/20/2011

33bProvider typeDentist

28Total paid$70K

24GClaims3,305

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#702 of 1,099

Median peer was paid$160K

This provider vs. median0.4×

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	3,162	$69K
2019	143	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	19%	327	327	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	192	139	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	384	384	$9K
D1206	Topical application of fluoride varnish	10%	253	253	$7K
D1120	Dental cleaning, childProphylaxis - child	7.7%	133	133	$5K
D0274	Bitewings - four radiographic images	5.8%	357	357	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.7%	69	42	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	136	136	$3K
D0230	Intraoral - periapical each additional radiographic image	3.8%	482	481	$3K
D0220	Intraoral - periapical first radiographic image	3.7%	543	541	$3K
D1351	Sealant - per tooth	3.1%	144	25	$2K
D0603		2.8%	200	200	$2K

3 more codes

D0140	Limited oral evaluation - problem focused	2.3%	45	$2K
D0210	Intraoral - complete series of radiographic images	<1%	12	$523.00
D0272	Bitewings - two radiographic images	<1%	28	$225.00

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.