Dental
Kim, Sang
Kim, Sang was paid $728K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoKIM, SANG
SPRING VALLEY, NY 10977
SPRING VALLEY, NY 10977
33aNPI1538335484assigned 05/01/2008
33bProvider typeDentist
28Total paid$728K
24GClaims31,372
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#142 of 1,649
Median peer was paid$49K
This provider vs. median15×
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 | 1,219 | $37K | |
| 2019 | 3,544 | $92K | |
| 2020 | 4,040 | $95K | |
| 2021 | 5,563 | $139K | |
| 2022 | 6,323 | $139K | |
| 2023 | 7,013 | $149K | |
| 2024incomplete | 3,670 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 4,641 | 4,626 | $165K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 2,661 | 1,660 | $125K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 2,843 | 1,843 | $107K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,587 | 4,572 | $92K |
| D0274 | Bitewings - four radiographic images | 6.1% | 2,419 | 2,416 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 4,011 | 3,951 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 3,544 | 3,505 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 1,668 | 1,657 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,245 | 1,240 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 814 | 810 | $25K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.8% | 650 | 537 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,790 | 1,781 | $19K |
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.