Kim, Sumin
Kim, Sumin was paid $530K by Medicaid between Aug 2023 and Dec 2024, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoKIM, SUMIN
CICERO, IL 60804
CICERO, IL 60804
33aNPI1124720859assigned 03/20/2023
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$530K
24GClaims17,063
24DCodes billed17
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#41 of 981
Median peer was paid$27K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2023 | 5,163 | $176K | |
| 2024incomplete | 11,900 | $354K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 1,409 | 511 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,724 | 1,724 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,086 | 2,085 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 817 | 572 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 1,656 | 1,656 | $44K |
| D1110 | Prophylaxis - adult | 7.7% | 862 | 860 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 552 | 399 | $32K |
| D0274 | Bitewings - four radiographic images | 6.0% | 1,676 | 1,674 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,078 | 1,076 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 442 | 359 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 134 | 116 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,898 | 1,889 | $12K |
5 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.