Dental
Soyeon Kim
Soyeon Kim was paid $456K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoSOYEON KIM
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1386054674assigned 05/07/2014
33bProvider typePublic Health Dentist
28Total paid$456K
24GClaims18,349
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health Dentist providers in California
Rank by total paid#13 of 40
Median peer was paid$122K
This provider vs. median3.7×
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 | 4,382 | $85K | |
| 2019 | 3,422 | $82K | |
| 2020 | 1,704 | $38K | |
| 2021 | 1,671 | $28K | |
| 2022 | 2,396 | $65K | |
| 2023 | 2,368 | $75K | |
| 2024incomplete | 2,406 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,177 | 2,172 | $115K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 2,501 | 2,491 | $96K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.3% | 642 | 350 | $42K |
| D0274 | Bitewings - four radiographic images | 5.9% | 1,291 | 1,285 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 471 | 245 | $25K |
| D1206 | Topical application of fluoride varnish | 5.4% | 2,201 | 2,194 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 6,020 | 2,525 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 386 | 386 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 326 | 179 | $21K |
| D2140 | 4.4% | 373 | 213 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,029 | 970 | $12K |
| D1110 | Prophylaxis - adult | 2.1% | 120 | 119 | $10K |
8 more codes
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.
From NPPES
Who's on the registration
Authorized officialKIM, SOYEON (DENTIST/OWNER)