Dental
Kim, Amy
Kim, Amy was paid $3K by Medicaid between Oct 2023 and Jun 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 53% of everything it billed.
33Billing provider infoKIM, AMY
HESPERIA, CA 92345
HESPERIA, CA 92345
33aNPI1780033399assigned 06/06/2016
33bProvider typePediatric Dentist
28Total paid$3K
24GClaims113
24DCodes billed3
24AFirst – last monthOct 2023 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#303 of 332
Median peer was paid$450K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 59 | $2K | |
| 2024incomplete | 54 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 53% | 52 | 52 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 44 | 44 | $902.88 |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 17 | 17 | $715.02 |
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.