Dental
Kim, Sai Mi
Kim, Sai Mi was paid $0.00 by Medicaid between Jan 2021 and Jan 2021, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 0% of everything it billed.
33Billing provider infoKIM, SAI MI
EAST HAVEN, CT 06513
EAST HAVEN, CT 06513
33aNPI1144603275assigned 07/07/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims52
24DCodes billed4
24AFirst – last monthJan 2021 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#405 of 431
Median peer was paid$79K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 52 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 0% | 12 | 12 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 15 | 15 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | 13 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | 12 | $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.