Kim, Su
Kim, Su was paid $91K by Medicaid between Jun 2020 and Jul 2022, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoKIM, SU
FINKSBURG, MD 21048
FINKSBURG, MD 21048
33aNPI1093169344assigned 04/22/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$91K
24GClaims3,267
24DCodes billed15
24AFirst – last monthJun 2020 – Jul 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Maryland
Rank by total paid#12 of 60
Median peer was paid$4K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2020 | 489 | $11K | |
| 2021 | 1,897 | $55K | |
| 2022 | 881 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 670 | 593 | $25K |
| D1206 | Topical application of fluoride varnish | 22% | 899 | 809 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 395 | 368 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.4% | 37 | 12 | $5K |
| D3120 | 5.0% | 138 | 39 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 80 | 76 | $4K |
| D0272 | Bitewings - two radiographic images | 4.0% | 256 | 242 | $4K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 81 | 79 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 30 | 14 | $3K |
| D1351 | Sealant - per tooth | 3.0% | 83 | 28 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 127 | 107 | $2K |
| D1330 | 2.4% | 393 | 362 | $2K |
3 more codes
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.