Dental
Kim, Bora
Kim, Bora was paid $14K by Medicaid between Sep 2020 and Jan 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoKIM, BORA
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1437686920assigned 05/16/2017
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims636
24DCodes billed8
24AFirst – last monthSep 2020 – Jan 2021
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#101 of 112
Median peer was paid$1.03M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 393 | $9K | |
| 2021 | 243 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 115 | 114 | $4K |
| D1206 | Topical application of fluoride varnish | 24% | 151 | 150 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 128 | 127 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 85 | 83 | $1K |
| D0272 | Bitewings - two radiographic images | 7.0% | 57 | 56 | $982.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 75 | 72 | $725.67 |
| D1110 | Prophylaxis - adult | 3.9% | 12 | 12 | $537.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 13 | 12 | $354.48 |
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.