Dental
Kim, David
Kim, David was paid $11K by Medicaid between Feb 2024 and Nov 2024, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 31% of everything it billed.
33Billing provider infoKIM, DAVID
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
33aNPI1245868579assigned 03/31/2020
33bProvider typePediatric Dentist
28Total paid$11K
24GClaims588
24DCodes billed6
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#190 of 237
Median peer was paid$109K
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 | |
|---|---|---|---|
| 2024incomplete | 588 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 31% | 167 | 164 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 162 | 159 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 105 | 105 | $3K |
| D1310 | 8.2% | 88 | 85 | $914.74 | |
| D0272 | Bitewings - two radiographic images | 5.6% | 38 | 38 | $618.00 |
| D1330 | 2.3% | 28 | 26 | $251.08 |
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.