Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kim, Paul

Kim, Paul was paid $122K by Medicaid between Feb 2018 and Jul 2020, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.

33Billing provider infoKIM, PAUL
SUFFERN, NY 10901
33aNPI1811002058assigned 08/20/2006
28Total paid$122K
24GClaims4,946
24DCodes billed17
24AFirst – last monthFeb 2018 – Jul 2020
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#807 of 2,184
Median peer was paid$54K
This provider vs. median2.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,978$45K
20192,494$66K
2020474$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 17% 455 453 $20K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 763 763 $19K
D0140 Limited oral evaluation - problem focused 11% 295 290 $13K
D1120 Dental cleaning, childProphylaxis - child 8.7% 247 247 $11K
D1206 Topical application of fluoride varnish 8.7% 341 340 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.9% 119 65 $8K
D0150 Comprehensive oral evaluation - new or established patient 6.8% 323 322 $8K
D0210 Intraoral - complete series of radiographic images 6.1% 159 158 $7K
D0274 Bitewings - four radiographic images 4.5% 441 441 $6K
D0330 Panoramic radiographic image 4.5% 135 135 $5K
D0220 Intraoral - periapical first radiographic image 3.6% 804 787 $4K
D0230 Intraoral - periapical each additional radiographic image 2.7% 636 634 $3K
5 more codes
D1351 Sealant - per tooth 1.8% 109 $2K
D9110 <1% 27 $810.00
D0272 Bitewings - two radiographic images <1% 45 $756.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 14 $665.00
D1208 Topical application of fluoride, excluding varnish <1% 33 $639.00

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.