Kim, Tae
Kim, Tae was paid $270K by Medicaid between Oct 2022 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoKIM, TAE
GARWOOD, NJ 07027
GARWOOD, NJ 07027
33aNPI1417504614assigned 08/22/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$270K
24GClaims9,471
24DCodes billed13
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Jersey
Rank by total paid#18 of 181
Median peer was paid$10K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2022 | 1,100 | $33K | |
| 2023 | 4,728 | $138K | |
| 2024incomplete | 3,643 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,456 | 1,454 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 796 | 529 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 614 | 366 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,253 | 1,250 | $31K |
| D1206 | Topical application of fluoride varnish | 8.0% | 765 | 763 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 7.4% | 454 | 453 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 614 | 613 | $15K |
| D0274 | Bitewings - four radiographic images | 3.8% | 942 | 942 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 1,013 | 1,011 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 224 | 224 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 1,210 | 1,203 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 102 | 102 | $4K |
1 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 28 | $2K |
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.