Dental
Kim, Soodong
Kim, Soodong was paid $789K by Medicaid between Jan 2018 and May 2021, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoKIM, SOODONG
SAN BERNARDINO, CA 92405
SAN BERNARDINO, CA 92405
33aNPI1689720740assigned 01/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$789K
24GClaims39,420
24DCodes billed17
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#674 of 2,668
Median peer was paid$173K
This provider vs. median4.6×
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 | 14,493 | $283K | |
| 2019 | 12,485 | $259K | |
| 2020 | 7,979 | $159K | |
| 2021 | 4,463 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,239 | 3,239 | $130K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 15% | 1,748 | 941 | $117K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,956 | 2,955 | $87K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 17,569 | 4,194 | $71K |
| D1351 | Sealant - per tooth | 9.0% | 3,265 | 1,091 | $71K |
| D0274 | Bitewings - four radiographic images | 7.9% | 3,042 | 3,027 | $63K |
| D1110 | Prophylaxis - adult | 7.8% | 769 | 768 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 812 | 512 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 695 | 695 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 3,249 | 3,248 | $32K |
| D2140 | 3.7% | 537 | 389 | $29K | |
| D2330 | 2.7% | 278 | 179 | $21K |
5 more codes
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.