Dental
Koo, Hayeon
Koo, Hayeon was paid $15K by Medicaid between Dec 2020 and Oct 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoKOO, HAYEON
FORT LEE, NJ 07024
FORT LEE, NJ 07024
33aNPI1326545377assigned 04/06/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims1,045
24DCodes billed13
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#509 of 790
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2020 | 12 | $96.00 | |
| 2021 | 892 | $14K | |
| 2023 | 43 | $215.00 | |
| 2024incomplete | 98 | $453.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 122 | 122 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 84 | 84 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 58 | 58 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 161 | 161 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 67 | 67 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 235 | 234 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 26 | 23 | $1K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 39 | 37 | $792.50 |
| D0274 | Bitewings - four radiographic images | 4.9% | 74 | 74 | $707.60 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 35 | 35 | $700.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 19 | 15 | $665.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.3% | 14 | 12 | $630.00 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 111 | $395.10 |
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.