Dental
Shim, Sooyeon
Shim, Sooyeon was paid $236K by Medicaid between Jan 2022 and Oct 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoSHIM, SOOYEON
PORTLAND, OR 97266
PORTLAND, OR 97266
33aNPI1487039897assigned 07/27/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$236K
24GClaims9,760
24DCodes billed20
24AFirst – last monthJan 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#39 of 311
Median peer was paid$6K
This provider vs. median37×
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 | 3,414 | $92K | |
| 2023 | 3,614 | $75K | |
| 2024incomplete | 2,732 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 738 | 736 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 383 | 219 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 1,097 | 1,094 | $20K |
| D9630 | 7.8% | 976 | 973 | $18K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 305 | 160 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 2,293 | 566 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 920 | 895 | $15K |
| D4910 | 5.8% | 197 | 197 | $14K | |
| D4341 | 5.1% | 141 | 60 | $12K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 445 | 442 | $12K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 289 | 282 | $10K |
| D0274 | Bitewings - four radiographic images | 4.1% | 346 | 344 | $10K |
8 more codes
| D0170 | 3.6% | 307 | $8K | |
| D1330 | 2.8% | 690 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 173 | $7K |
| D0603 | 1.5% | 336 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 51 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 21 | $2K |
| D0602 | <1% | 39 | $407.00 | |
| D0270 | <1% | 13 | $143.00 |
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.