Dental
Jeon, Kyoungsoo
Jeon, Kyoungsoo was paid $2K by Medicaid between May 2021 and Aug 2022, across 3 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 64% of everything it billed.
33Billing provider infoJEON, KYOUNGSOO
DUNKIRK, NY 14048
DUNKIRK, NY 14048
33aNPI1245728104assigned 04/26/2018
33bProvider typeDentist
28Total paid$2K
24GClaims103
24DCodes billed3
24AFirst – last monthMay 2021 – Aug 2022
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,451 of 1,649
Median peer was paid$49K
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 | 36 | $300.00 | |
| 2022 | 67 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 64% | 43 | 43 | $972.07 |
| D1206 | Topical application of fluoride varnish | 24% | 24 | 24 | $360.00 |
| D0220 | Intraoral - periapical first radiographic image | 12% | 36 | 36 | $180.00 |
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.