Kim, Henry

Kim, Henry was paid $2K by Medicaid between Apr 2021 and Jan 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoKIM, HENRY
OLYMPIA, WA 98501

33aNPI1366924144assigned 08/29/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims108

24DCodes billed4

24AFirst – last monthApr 2021 – Jan 2024

Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#223 of 319

Median peer was paid$22K

This provider vs. median0.1×

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
2021	68	$2K
2023	27	$365.09
2024incomplete	13	$85.93

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	35	33	$924.00
D1120	Dental cleaning, childProphylaxis - child	35%	19	19	$779.00
D0274	Bitewings - four radiographic images	13%	14	14	$279.16
D0220	Intraoral - periapical first radiographic image	11%	40	40	$250.26

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.