Dental
Kim, Peter
Kim, Peter was paid $75K by Medicaid between Apr 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoKIM, PETER
BAYSIDE, NY 11361
BAYSIDE, NY 11361
33aNPI1811916877assigned 07/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims3,872
24DCodes billed10
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#965 of 2,184
Median peer was paid$54K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 228 | $4K | |
| 2019 | 699 | $12K | |
| 2020 | 310 | $6K | |
| 2021 | 726 | $15K | |
| 2022 | 665 | $15K | |
| 2023 | 924 | $17K | |
| 2024incomplete | 320 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 1,141 | 1,140 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,156 | 1,154 | $21K |
| D0274 | Bitewings - four radiographic images | 10% | 465 | 465 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 524 | 508 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 76 | 73 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 205 | 205 | $2K |
| D1320 | 1.6% | 162 | 162 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 15 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 109 | 109 | $422.77 |
| D0140 | Limited oral evaluation - problem focused | <1% | 19 | 13 | $90.96 |
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.