Dental
Kim, David
Kim, David was paid $110K by Medicaid between Mar 2018 and Aug 2024, across 13 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 40% of everything it billed.
33Billing provider infoKIM, DAVID
STAFFORD, VA 22554
STAFFORD, VA 22554
33aNPI1740490085assigned 05/23/2007
33bProvider typeDentist
28Total paid$110K
24GClaims4,211
24DCodes billed13
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#137 of 417
Median peer was paid$34K
This provider vs. median3.3×
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 | 307 | $8K | |
| 2019 | 688 | $16K | |
| 2020 | 576 | $9K | |
| 2021 | 678 | $22K | |
| 2022 | 801 | $29K | |
| 2023 | 894 | $26K | |
| 2024incomplete | 267 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 40% | 616 | 248 | $45K |
| D1110 | Prophylaxis - adult | 19% | 559 | 526 | $21K |
| D0140 | Limited oral evaluation - problem focused | 11% | 741 | 577 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 1,296 | 934 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 374 | 359 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 305 | 301 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 45 | 24 | $4K |
| D0274 | Bitewings - four radiographic images | 2.1% | 108 | 98 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 57 | 45 | $1K |
| D0330 | Panoramic radiographic image | 1.3% | 34 | 26 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 25 | 25 | $838.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19 | 12 | $212.42 |
1 more codes
| D1999 | 0% | 32 | $0.00 |
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.