Dental
Kim, Wanki
Kim, Wanki was paid $89K by Medicaid between Jan 2018 and Sep 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoKIM, WANKI
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1780003749assigned 04/07/2014
33bProvider typePediatric Dentist
28Total paid$89K
24GClaims4,454
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#318 of 514
Median peer was paid$196K
This provider vs. median0.5×
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 | 2,607 | $47K | |
| 2019 | 1,108 | $24K | |
| 2020 | 739 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 655 | 655 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 639 | 639 | $20K |
| D1206 | Topical application of fluoride varnish | 9.6% | 261 | 259 | $9K |
| D0272 | Bitewings - two radiographic images | 9.3% | 491 | 490 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 439 | 439 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 503 | 500 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 580 | 577 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 33 | 25 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $342.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 74 | 70 | $0.00 |
| D1330 | 0% | 454 | 454 | $0.00 | |
| D0603 | 0% | 312 | 312 | $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.