Kim, Jung Keun

Kim, Jung Keun was paid $5K by Medicaid between May 2019 and Jul 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.

33Billing provider infoKIM, JUNG KEUN
MOUNT PLEASANT, MI 48858

33aNPI1730588617assigned 08/17/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims173

24DCodes billed5

24AFirst – last monthMay 2019 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#964 of 1,554

Median peer was paid$15K

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
2019	173	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	51%	60	60	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	25%	19	12	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	43	43	$1K
D0220	Intraoral - periapical first radiographic image	2.4%	26	26	$130.00
D0230	Intraoral - periapical each additional radiographic image	1.4%	25	25	$75.00

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.