Clinic
Sul Ki Yi, DDS, P.A.
Sul Ki Yi, DDS, P.A. was paid $119K by Medicaid between Jul 2023 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoSUL KI YI, DDS, P.A.
DONNA, TX 78537
DONNA, TX 78537
33aNPI1124729397assigned 03/15/2023
33bProvider typeDental Clinic/Center
28Total paid$119K
24GClaims5,963
24DCodes billed13
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#125 of 255
Median peer was paid$110K
This provider vs. median1.1×
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 | 1,572 | $38K | |
| 2024incomplete | 4,391 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 841 | 825 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 438 | 430 | $16K |
| D1110 | Prophylaxis - adult | 12% | 260 | 257 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 864 | 850 | $12K |
| D1351 | Sealant - per tooth | 10% | 443 | 89 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 730 | 717 | $8K |
| D0272 | Bitewings - two radiographic images | 6.3% | 345 | 339 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 813 | 674 | $7K |
| D0330 | Panoramic radiographic image | 5.7% | 118 | 116 | $7K |
| D0274 | Bitewings - four radiographic images | 4.9% | 188 | 185 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 4.8% | 43 | 42 | $6K |
| D0602 | 0% | 195 | 193 | $0.00 |
1 more codes
| D0603 | 0% | 685 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialYI, SUL KI (DENTIST/OWNER)
Parent organizationSUL KI YI, DDS, P.A.