Dental
Kim, John
Kim, John was paid $33K by Medicaid between Jan 2018 and Jan 2018, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoKIM, JOHN
TYLER, TX 75701
TYLER, TX 75701
33aNPI1720531403assigned 07/28/2016
33bProvider typeDentist
28Total paid$33K
24GClaims1,475
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#852 of 1,678
Median peer was paid$35K
This provider vs. median1.0×
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 | 1,475 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 214 | 209 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 230 | 227 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 67 | 52 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 95 | 57 | $3K |
| D0274 | Bitewings - four radiographic images | 5.9% | 115 | 115 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 66 | 63 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 37 | 27 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 251 | 245 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 50 | 48 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 226 | 217 | $931.00 |
| D0272 | Bitewings - two radiographic images | 2.1% | 73 | 69 | $686.20 |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 37 | 34 | $567.00 |
1 more codes
| D1110 | Prophylaxis - adult | 1.1% | 14 | $355.60 |
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.