Dental
Kim, Ken
Kim, Ken was paid $78K by Medicaid between Jan 2018 and Nov 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoKIM, KEN
ELLICOTT CITY, MD 21043
ELLICOTT CITY, MD 21043
33aNPI1477606341assigned 01/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$78K
24GClaims4,309
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#247 of 598
Median peer was paid$42K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2018 | 297 | $8K | |
| 2019 | 185 | $5K | |
| 2020 | 1,510 | $24K | |
| 2021 | 1,310 | $23K | |
| 2022 | 1,007 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 948 | 925 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,157 | 1,130 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 352 | 347 | $8K |
| D0274 | Bitewings - four radiographic images | 8.5% | 465 | 449 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 733 | 709 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 557 | 520 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 51 | 49 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 32 | 31 | $612.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 14 | $407.50 |
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.