Kim, Diane

Kim, Diane was paid $2K by Medicaid between Oct 2022 and Aug 2023, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.

33Billing provider infoKIM, DIANE
HUMBLE, TX 77338

33aNPI1750939047assigned 08/29/2019

33bProvider typeDentist

28Total paid$2K

24GClaims95

24DCodes billed6

24AFirst – last monthOct 2022 – Aug 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,341 of 1,678

Median peer was paid$35K

This provider vs. median0.1×

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
2022	83	$2K
2023	12	$150.72

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	27%	15	15	$524.48
D1120	Dental cleaning, childProphylaxis - child	23%	12	12	$434.25
D0220	Intraoral - periapical first radiographic image	18%	28	28	$339.12
D0272	Bitewings - two radiographic images	15%	12	12	$280.56
D1206	Topical application of fluoride varnish	9.2%	12	12	$176.40
D0230	Intraoral - periapical each additional radiographic image	9.0%	16	16	$172.65

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.