Kim, Tae

Kim, Tae was paid $14K by Medicaid between Sep 2021 and May 2023, across 7 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 83% of everything it billed.

33Billing provider infoKIM, TAE
CARROLLTON, TX 75006

33aNPI1750994414assigned 08/24/2020

33bProvider typeDentist

28Total paid$14K

24GClaims420

24DCodes billed7

24AFirst – last monthSep 2021 – May 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,023 of 1,678

Median peer was paid$35K

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
2021	144	$3K
2023	276	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0145	Oral evaluation for a patient under three years of age	83%	83	83	$12K
D1208	Topical application of fluoride, excluding varnish	6.2%	69	69	$882.00
D1120	Dental cleaning, childProphylaxis - child	5.4%	27	27	$771.75
D0150	Comprehensive oral evaluation - new or established patient	4.0%	16	16	$565.12
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$113.04
D0230	Intraoral - periapical each additional radiographic image	<1%	12	12	$103.59
D0603		<1%	201	200	$0.19

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.