Dental
Kim, Vivian
Kim, Vivian was paid $480K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoKIM, VIVIAN
PATERSON, NJ 07522
PATERSON, NJ 07522
33aNPI1356865745assigned 07/27/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$480K
24GClaims15,316
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#120 of 790
Median peer was paid$43K
This provider vs. median11×
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 | 102 | $0.00 | |
| 2020 | 709 | $22K | |
| 2021 | 5,383 | $179K | |
| 2022 | 4,573 | $165K | |
| 2023 | 1,932 | $54K | |
| 2024incomplete | 2,617 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 1,537 | 963 | $104K |
| D1110 | Prophylaxis - adult | 20% | 2,153 | 2,151 | $95K |
| D1206 | Topical application of fluoride varnish | 12% | 1,834 | 1,832 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,000 | 1,998 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.2% | 822 | 521 | $44K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.5% | 322 | 243 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 489 | 489 | $22K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,448 | 1,446 | $16K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.3% | 39 | 29 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 421 | 421 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 271 | 269 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,839 | 1,829 | $9K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 1,590 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 272 | $6K |
| D0330 | Panoramic radiographic image | <1% | 93 | $3K |
| D1120 | Dental cleaning, child | <1% | 50 | $2K |
| D8670 | Periodic orthodontic treatment visit | <1% | 15 | $1K |
| D0603 | <1% | 109 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $120.00 |
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.