Dental
Peter HD Kim, DDS
Peter HD Kim, DDS was paid $280K by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoPETER HD KIM, DDS
WOODBRIDGE, VA 22193
WOODBRIDGE, VA 22193
33aNPI1437426509assigned 11/17/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$280K
24GClaims11,437
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#124 of 549
Median peer was paid$29K
This provider vs. median9.5×
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 | 1,759 | $48K | |
| 2019 | 2,132 | $49K | |
| 2020 | 2,144 | $47K | |
| 2021 | 1,469 | $41K | |
| 2022 | 1,715 | $60K | |
| 2023 | 1,659 | $35K | |
| 2024incomplete | 559 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 2,209 | 2,106 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,598 | 2,533 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 2,158 | 2,145 | $42K |
| D0274 | Bitewings - four radiographic images | 11% | 1,360 | 1,325 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 834 | 829 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 525 | 484 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 292 | 289 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 86 | 54 | $9K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 400 | 320 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 536 | 392 | $4K |
| D2950 | 1.1% | 25 | 24 | $3K | |
| D1351 | Sealant - per tooth | <1% | 46 | 12 | $1K |
4 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, JINA (OFFICE MANAGER)