Dental
Kim, Tracy
Kim, Tracy was paid $329K by Medicaid between Jan 2018 and Aug 2020, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoKIM, TRACY
WOODSIDE, NY 11377
WOODSIDE, NY 11377
33aNPI1174938559assigned 06/24/2014
33bProvider typePediatric Dentist
28Total paid$329K
24GClaims11,796
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#208 of 514
Median peer was paid$196K
This provider vs. median1.7×
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 | 5,701 | $171K | |
| 2019 | 4,792 | $124K | |
| 2020 | 1,303 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,046 | 2,046 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,015 | 2,015 | $54K |
| D1351 | Sealant - per tooth | 10% | 707 | 283 | $34K |
| D0272 | Bitewings - two radiographic images | 7.3% | 1,548 | 1,548 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 371 | 233 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 1,664 | 1,664 | $22K |
| D1206 | Topical application of fluoride varnish | 5.4% | 718 | 718 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 218 | 177 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 1,090 | 1,089 | $14K |
| D1110 | Prophylaxis - adult | 3.8% | 237 | 237 | $12K |
| D0274 | Bitewings - four radiographic images | 2.9% | 360 | 360 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 48 | 40 | $6K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 102 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 428 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 142 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 13 | $1K |
| D0240 | <1% | 63 | $990.85 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $342.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $133.00 |
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.