Dental
Hae Sook Kim DMD LLC
Hae Sook Kim DMD LLC was paid $134K by Medicaid between Jan 2018 and May 2018, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoHAE SOOK KIM DMD LLC
CHARLOTTE HALL, MD 20622
CHARLOTTE HALL, MD 20622
33aNPI1538557533assigned 12/30/2014
33bProvider typeDentist
28Total paid$134K
24GClaims4,211
24DCodes billed14
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#138 of 415
Median peer was paid$47K
This provider vs. median2.8×
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 | 4,211 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 738 | 731 | $31K |
| D1206 | Topical application of fluoride varnish | 17% | 947 | 938 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 736 | 731 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 162 | 112 | $19K |
| D1351 | Sealant - per tooth | 4.6% | 186 | 70 | $6K |
| D1352 | 3.9% | 161 | 71 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 54 | 44 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 271 | 253 | $5K |
| D1110 | Prophylaxis - adult | 2.8% | 66 | 66 | $4K |
| D0272 | Bitewings - two radiographic images | 2.4% | 223 | 222 | $3K |
| D0330 | Panoramic radiographic image | 2.4% | 77 | 77 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 59 | 57 | $3K |
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 officialKIM, HAE SOOK (OWNER)