Kim, Andrew

Kim, Andrew was paid $14K by Medicaid between Jan 2018 and Mar 2023, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.

33Billing provider infoKIM, ANDREW
HAZELWOOD, MO 63042

33aNPI1124182357assigned 12/21/2006

33bProvider typePediatric Dentist

28Total paid$14K

24GClaims659

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatric Dentist providers in Missouri

Rank by total paid#28 of 39

Median peer was paid$73K

This provider vs. median0.2×

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	277	$6K
2019	275	$5K
2020	68	$1K
2023	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	38%	201	194	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	200	198	$5K
D1206	Topical application of fluoride varnish	23%	210	205	$3K
D1208	Topical application of fluoride, excluding varnish	2.6%	21	21	$364.00
D0272	Bitewings - two radiographic images	1.1%	13	13	$158.60
D0220	Intraoral - periapical first radiographic image	<1%	14	12	$98.00

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.