Dental
Kim, Andrew
Kim, Andrew was paid $91K by Medicaid between Oct 2018 and Nov 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoKIM, ANDREW
SEAL BEACH, CA 90740
SEAL BEACH, CA 90740
33aNPI1194847939assigned 04/04/2007
33bProvider typeDentist
28Total paid$91K
24GClaims3,145
24DCodes billed13
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,394 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | 106 | $4K | |
| 2019 | 651 | $14K | |
| 2020 | 292 | $6K | |
| 2021 | 577 | $17K | |
| 2022 | 532 | $17K | |
| 2023 | 674 | $23K | |
| 2024incomplete | 313 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 617 | 612 | $32K |
| D1110 | Prophylaxis - adult | 17% | 202 | 200 | $16K |
| D1206 | Topical application of fluoride varnish | 14% | 518 | 516 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 598 | 574 | $7K |
| D0274 | Bitewings - four radiographic images | 6.4% | 277 | 275 | $6K |
| D4910 | 6.1% | 42 | 40 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 101 | 93 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 59 | 57 | $2K |
| D9430 | 2.3% | 67 | 57 | $2K | |
| D1999 | 1.9% | 200 | 186 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 437 | 416 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 12 | $468.00 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 0% | 14 | $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.