Dental
Kim, Dami
Kim, Dami was paid $503K by Medicaid between Jan 2018 and Mar 2020, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoKIM, DAMI
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
33aNPI1588993893assigned 12/15/2009
33bProvider typePediatric Dentist
28Total paid$503K
24GClaims20,509
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#76 of 190
Median peer was paid$275K
This provider vs. median1.8×
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 | 11,044 | $262K | |
| 2019 | 8,355 | $211K | |
| 2020 | 1,110 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 3,830 | 3,830 | $132K |
| D1206 | Topical application of fluoride varnish | 19% | 3,985 | 3,985 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,203 | 3,203 | $83K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 941 | 619 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 818 | 818 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 1,016 | 947 | $20K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 595 | 582 | $20K |
| D9920 | 3.7% | 945 | 937 | $19K | |
| D0603 | 3.6% | 1,822 | 1,822 | $18K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 329 | 230 | $14K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,097 | 1,097 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 164 | 126 | $7K |
6 more codes
| D0602 | <1% | 437 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 805 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 45 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 323 | $3K |
| D1110 | Prophylaxis - adult | <1% | 54 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 100 | $1K |
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.