Dental
Kim, Jason
Kim, Jason was paid $25K by Medicaid between Oct 2020 and Aug 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoKIM, JASON
LYNDHURST, NJ 07071
LYNDHURST, NJ 07071
33aNPI1467913863assigned 03/28/2019
33bProvider typeDentist
28Total paid$25K
24GClaims842
24DCodes billed8
24AFirst – last monthOct 2020 – Aug 2021
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#345 of 674
Median peer was paid$27K
This provider vs. median0.9×
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 | 165 | $5K | |
| 2021 | 677 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 217 | 217 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 192 | 192 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 131 | 131 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 55 | 55 | $2K |
| D0274 | Bitewings - four radiographic images | 8.7% | 178 | 178 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 45 | 45 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 12 | 12 | $540.00 |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 12 | 12 | $540.00 |
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.