Dental
Kim, Jason
Kim, Jason was paid $3K by Medicaid between Jul 2024 and Nov 2024, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 43% of everything it billed.
33Billing provider infoKIM, JASON
TOOELE, UT 84074
TOOELE, UT 84074
33aNPI1770894701assigned 06/24/2010
33bProvider typeDentist
28Total paid$3K
24GClaims115
24DCodes billed4
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#113 of 136
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 | |
|---|---|---|---|
| 2024incomplete | 115 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 43% | 29 | 29 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 25% | 45 | 43 | $704.54 |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 13 | 13 | $558.72 |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 28 | 26 | $325.50 |
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.