Dental
Kim, Kyeong Hwan
Kim, Kyeong Hwan was paid $21K by Medicaid between Dec 2020 and May 2022, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 25% of everything it billed.
33Billing provider infoKIM, KYEONG HWAN
FRISCO, TX 75034
FRISCO, TX 75034
33aNPI1154943785assigned 05/18/2020
33bProvider typeDentist
28Total paid$21K
24GClaims1,173
24DCodes billed8
24AFirst – last monthDec 2020 – May 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#951 of 1,678
Median peer was paid$35K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 12 | $220.00 | |
| 2021 | 736 | $12K | |
| 2022 | 425 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 25% | 138 | 137 | $5K |
| D1110 | Prophylaxis - adult | 23% | 168 | 165 | $5K |
| D0274 | Bitewings - four radiographic images | 18% | 231 | 229 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 116 | 115 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 176 | 174 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 182 | 176 | $805.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 144 | 129 | $615.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 18 | 18 | $255.00 |
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.