Dental
Kou, Jack
Kou, Jack was paid $1.76M by Medicaid between Jan 2018 and Sep 2023, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoKOU, JACK
FLUSHING, MI 48433
FLUSHING, MI 48433
33aNPI1295094563assigned 05/08/2012
33bProvider typeDentist
28Total paid$1.76M
24GClaims67,028
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#47 of 1,033
Median peer was paid$15K
This provider vs. median117×
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 | 7,514 | $166K | |
| 2019 | 8,597 | $222K | |
| 2020 | 10,143 | $238K | |
| 2021 | 10,156 | $307K | |
| 2022 | 15,319 | $379K | |
| 2023 | 15,299 | $448K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 6,712 | 6,477 | $274K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 7,609 | 7,323 | $208K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 2,662 | 1,689 | $173K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 6,656 | 6,422 | $172K |
| D1351 | Sealant - per tooth | 9.1% | 2,884 | 1,016 | $160K |
| D4342 | 6.1% | 812 | 371 | $107K | |
| D0274 | Bitewings - four radiographic images | 5.2% | 6,291 | 6,097 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 3,997 | 3,849 | $91K |
| D4341 | 5.1% | 515 | 202 | $90K | |
| D1110 | Prophylaxis - adult | 5.0% | 2,021 | 1,968 | $87K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.2% | 924 | 657 | $73K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 10,425 | 9,945 | $62K |
15 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 10,607 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 1,333 | $35K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,260 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 396 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 1,186 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 117 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 122 | $7K |
| D2332 | <1% | 40 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 253 | $4K |
| D4910 | <1% | 41 | $3K | |
| D2394 | <1% | 20 | $2K | |
| D0601 | <1% | 45 | $2K | |
| D2330 | <1% | 19 | $1K | |
| D0270 | <1% | 46 | $235.21 | |
| D1999 | 0% | 35 | $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.