Kim, Mi

Kim, Mi was paid $755.54 by Medicaid between Feb 2022 and Feb 2022, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 52% of everything it billed.

33Billing provider infoKIM, MI
LAWRENCEVILLE, GA 30043

33aNPI1528176252assigned 08/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$755.54

24GClaims36

24DCodes billed3

24AFirst – last monthFeb 2022 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#55 of 63

Median peer was paid$30K

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
2022	36	$755.54

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	52%	12	12	$393.36
D1110	Prophylaxis - adult	35%	12	12	$267.30
D0330	Panoramic radiographic image	13%	12	12	$94.88

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.