Moon, Kyungsik

Moon, Kyungsik was paid $14K by Medicaid between Jan 2018 and Aug 2019, across 5 billing codes. Its largest line is D0330, Panoramic radiographic image — 41% of everything it billed.

33Billing provider infoMOON, KYUNGSIK
BEDFORD, OH 44146

33aNPI1730569856assigned 06/03/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims474

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#557 of 870

Median peer was paid$40K

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	406	$12K
2019	68	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	41%	126	124	$6K
D0150	Comprehensive oral evaluation - new or established patient	27%	143	141	$4K
D1110	Prophylaxis - adult	14%	61	61	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	103	103	$2K
D0274	Bitewings - four radiographic images	5.9%	41	41	$844.00

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.