Dental
Kim, Cal
Kim, Cal was paid $99K by Medicaid between Dec 2018 and Oct 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.
33Billing provider infoKIM, CAL
WILLOWBROOK, IL 60527
WILLOWBROOK, IL 60527
33aNPI1497901250assigned 08/13/2008
33bProvider typePediatric Dentist
28Total paid$99K
24GClaims3,286
24DCodes billed10
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#27 of 53
Median peer was paid$99K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 23 | $738.00 | |
| 2019 | 149 | $5K | |
| 2020 | 929 | $24K | |
| 2021 | 751 | $22K | |
| 2022 | 468 | $15K | |
| 2023 | 570 | $19K | |
| 2024incomplete | 396 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 50% | 1,217 | 1,178 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,011 | 1,001 | $28K |
| D1206 | Topical application of fluoride varnish | 11% | 427 | 413 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 148 | 112 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 35 | 27 | $2K |
| D0272 | Bitewings - two radiographic images | 1.6% | 167 | 157 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 64 | 52 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 135 | 121 | $744.80 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 69 | 60 | $706.80 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $210.60 |
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.