Kim, Kathy

Kim, Kathy was paid $73K by Medicaid between Jan 2018 and Aug 2019, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.

33Billing provider infoKIM, KATHY
LITTLE NECK, NY 11362

33aNPI1639579915assigned 08/25/2014

33bProvider typePediatric Dentist

28Total paid$73K

24GClaims3,152

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#335 of 514

Median peer was paid$196K

This provider vs. median0.4×

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	2,155	$51K
2019	997	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	36%	668	668	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	800	800	$21K
D1208	Topical application of fluoride, excluding varnish	14%	781	781	$10K
D0272	Bitewings - two radiographic images	6.5%	314	314	$5K
D0220	Intraoral - periapical first radiographic image	6.4%	405	399	$5K
D7140	Extraction, erupted tooth or exposed root	3.5%	39	34	$3K
D1110	Prophylaxis - adult	2.4%	34	34	$2K
D1351	Sealant - per tooth	1.4%	30	12	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	67	67	$389.59
D0274	Bitewings - four radiographic images	<1%	14	14	$371.50

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.