Kim, Jason

Kim, Jason was paid $5K by Medicaid between Oct 2018 and Jul 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 32% of everything it billed.

33Billing provider infoKIM, JASON
OREGON CITY, OR 97045

33aNPI1265850754assigned 04/01/2014

33bProvider typeDentist

28Total paid$5K

24GClaims1,022

24DCodes billed10

24AFirst – last monthOct 2018 – Jul 2024

Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#152 of 233

Median peer was paid$19K

This provider vs. median0.3×

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	63	$2K
2022	262	$385.03
2023	562	$3K
2024incomplete	135	$0.01

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	32%	51	50	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	16	15	$1K
D1110	Prophylaxis - adult	14%	16	16	$752.00
D0220	Intraoral - periapical first radiographic image	13%	59	56	$728.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.3%	18	18	$504.00
D0150	Comprehensive oral evaluation - new or established patient	8.4%	14	14	$456.00
D0230	Intraoral - periapical each additional radiographic image	2.0%	12	12	$108.00
D0603		<1%	28	28	$0.25
D1310		<1%	382	369	$0.07
D1330		0%	426	408	$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.