Dental
Kim, Dug Soo
Kim, Dug Soo was paid $90K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D0330, Panoramic radiographic image — 27% of everything it billed.
33Billing provider infoKIM, DUG SOO
NORTH OLMSTED, OH 44070
NORTH OLMSTED, OH 44070
33aNPI1114332046assigned 06/30/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims2,542
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#341 of 870
Median peer was paid$40K
This provider vs. median2.2×
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 | 268 | $9K | |
| 2021 | 113 | $2K | |
| 2022 | 310 | $6K | |
| 2023 | 709 | $24K | |
| 2024incomplete | 1,142 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 27% | 434 | 403 | $25K |
| D1110 | Prophylaxis - adult | 23% | 424 | 400 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 517 | 479 | $17K |
| D0274 | Bitewings - four radiographic images | 5.9% | 187 | 184 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 68 | 36 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 131 | 127 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 82 | 33 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.8% | 42 | 24 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 362 | 348 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 167 | 141 | $1K |
| D1206 | Topical application of fluoride varnish | 1.5% | 63 | 58 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 41 | 41 | $844.56 |
2 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.