Dental
Sean Kim DDS PC
Sean Kim DDS PC was paid $2K by Medicaid between Aug 2018 and Aug 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoSEAN KIM DDS PC
FREDERICKSBURG, VA 22408
FREDERICKSBURG, VA 22408
33aNPI1215325055assigned 01/01/2015
33bProvider typeDentist
28Total paid$2K
24GClaims147
24DCodes billed4
24AFirst – last monthAug 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#320 of 417
Median peer was paid$34K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 12 | $249.48 | |
| 2021 | 14 | $291.06 | |
| 2022 | 52 | $2K | |
| 2023 | 57 | $308.35 | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 57 | 52 | $892.75 |
| D1110 | Prophylaxis - adult | 29% | 12 | 12 | $718.43 |
| D1206 | Topical application of fluoride varnish | 24% | 66 | 64 | $582.12 |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 12 | 12 | $249.48 |
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 officialKIM, SEAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lindenhurst Station Dental | Lindenhurst, NY | $293K |
| Sean Sanghoon Kim DDS | Lake Forest, CA | $197K |
| DR. Sean Kim DDS MD PLLC | Houston, TX | $173K |
| Coopercrwn NJ | Palisades Park, NJ | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.