Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kang, Tae Ho

Kang, Tae Ho was paid $86K by Medicaid between Jan 2018 and Oct 2018, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.

33Billing provider infoKANG, TAE HO
MOUNT PLEASANT, WI 53406
33aNPI1255711693assigned 06/01/2015
28Total paid$86K
24GClaims2,242
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Wisconsin

Rank by total paid#6 of 72
Median peer was paid$1K
This provider vs. median71×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,242$86K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27% 168 64 $23K
D1120 Dental cleaning, childProphylaxis - child 11% 219 213 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.8% 69 28 $8K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.1% 238 234 $7K
D0150 Comprehensive oral evaluation - new or established patient 6.8% 148 142 $6K
D1206 Topical application of fluoride varnish 5.4% 174 173 $5K
D1110 Prophylaxis - adult 5.1% 111 107 $4K
D0274 Bitewings - four radiographic images 5.0% 192 186 $4K
D0220 Intraoral - periapical first radiographic image 4.9% 282 271 $4K
D0272 Bitewings - two radiographic images 4.8% 136 133 $4K
D0230 Intraoral - periapical each additional radiographic image 3.0% 250 212 $3K
D1208 Topical application of fluoride, excluding varnish 2.8% 101 95 $2K
4 more codes
D0330 Panoramic radiographic image 2.3% 60 $2K
D1351 Sealant - per tooth 2.2% 51 $2K
D0140 Limited oral evaluation - problem focused 1.5% 26 $1K
D0210 Intraoral - complete series of radiographic images <1% 17 $793.73

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.