Dental
Kim, Jennifer
Kim, Jennifer was paid $344K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoKIM, JENNIFER
PHILADELPHIA, PA 19115
PHILADELPHIA, PA 19115
33aNPI1689055030assigned 06/11/2015
33bProvider typePediatric Dentist
28Total paid$344K
24GClaims14,718
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#63 of 237
Median peer was paid$109K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 353 | $13K | |
| 2020 | 4,123 | $94K | |
| 2021 | 9,477 | $220K | |
| 2022 | 66 | $1K | |
| 2024incomplete | 699 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,249 | 2,242 | $49K |
| D1206 | Topical application of fluoride varnish | 14% | 2,392 | 2,381 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,590 | 1,589 | $45K |
| D1351 | Sealant - per tooth | 9.6% | 1,223 | 272 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 546 | 397 | $33K |
| D1110 | Prophylaxis - adult | 8.7% | 811 | 809 | $30K |
| D0274 | Bitewings - four radiographic images | 5.8% | 661 | 659 | $20K |
| D0272 | Bitewings - two radiographic images | 4.6% | 905 | 904 | $16K |
| D0330 | Panoramic radiographic image | 3.9% | 330 | 330 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 264 | 220 | $13K |
| D0603 | 2.7% | 945 | 944 | $9K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 165 | 112 | $8K |
11 more codes
| D1330 | 2.1% | 1,268 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 254 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 486 | $4K |
| D0240 | <1% | 137 | $2K | |
| D1310 | <1% | 149 | $2K | |
| D0602 | <1% | 127 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 133 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 36 | $999.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | $425.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $315.00 |
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.