Dental
Kim, Sae
Kim, Sae was paid $327K by Medicaid between Sep 2019 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.
33Billing provider infoKIM, SAE
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1093017956assigned 11/29/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$327K
24GClaims9,683
24DCodes billed13
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#261 of 756
Median peer was paid$121K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2019 | 329 | $8K | |
| 2020 | 678 | $23K | |
| 2021 | 1,264 | $45K | |
| 2022 | 1,875 | $57K | |
| 2023 | 2,446 | $84K | |
| 2024incomplete | 3,091 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 35% | 1,083 | 512 | $115K |
| D1110 | Prophylaxis - adult | 14% | 1,212 | 1,194 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,661 | 1,626 | $43K |
| D1206 | Topical application of fluoride varnish | 9.6% | 1,936 | 1,898 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 1,190 | 1,170 | $18K |
| D0274 | Bitewings - four radiographic images | 5.3% | 544 | 538 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 520 | 512 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 1,094 | 1,060 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 151 | 92 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 205 | 201 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 37 | 24 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $944.75 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 25 | $425.70 |
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.