Dental
Lim Pediatric Dentistry
Lim Pediatric Dentistry was paid $18K by Medicaid between Mar 2024 and Nov 2024, across 11 billing codes. Its largest line is D9630, — 23% of everything it billed.
33Billing provider infoLIM PEDIATRIC DENTISTRY
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
33aNPI1528797180assigned 06/08/2022
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims973
24DCodes billed11
24AFirst – last monthMar 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#112 of 156
Median peer was paid$337K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 973 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9630 | 23% | 115 | 102 | $4K | |
| D1206 | Topical application of fluoride varnish | 16% | 118 | 115 | $3K |
| D1351 | Sealant - per tooth | 14% | 86 | 14 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 31 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 42 | 41 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 171 | 148 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 52 | 51 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 287 | 105 | $631.98 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 18 | 16 | $504.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 18 | 17 | $326.25 |
| D1330 | 0% | 35 | 34 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLIM, DONGKOOK (OWNER)