Dental
Kim, Savannah
Kim, Savannah was paid $4K by Medicaid between Oct 2024 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoKIM, SAVANNAH
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
33aNPI1841475761assigned 01/09/2008
33bProvider typePediatric Dentist
28Total paid$4K
24GClaims177
24DCodes billed7
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#65 of 84
Median peer was paid$311K
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 | |
|---|---|---|---|
| 2024incomplete | 177 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 39 | 39 | $1K |
| D1206 | Topical application of fluoride varnish | 28% | 51 | 51 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 19 | 19 | $467.00 |
| D1310 | 11% | 27 | 27 | $427.49 | |
| D0272 | Bitewings - two radiographic images | 7.0% | 12 | 12 | $270.06 |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 15 | 15 | $164.49 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 14 | 13 | $111.74 |
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.