Dental
Kim, Yeon Soo
Kim, Yeon Soo was paid $295K by Medicaid between Apr 2023 and Dec 2024, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 29% of everything it billed.
33Billing provider infoKIM, YEON SOO
MOLINE, IL 61265
MOLINE, IL 61265
33aNPI1851016414assigned 10/06/2022
33bProvider typeDentist
28Total paid$295K
24GClaims9,056
24DCodes billed15
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#415 of 1,099
Median peer was paid$160K
This provider vs. median1.8×
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 | 2,069 | $67K | |
| 2024incomplete | 6,987 | $227K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 29% | 1,052 | 448 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,232 | 1,232 | $53K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 15% | 415 | 260 | $45K |
| D1206 | Topical application of fluoride varnish | 11% | 1,171 | 1,171 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 620 | 620 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 603 | 603 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 1,094 | 1,091 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,445 | 1,424 | $9K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 486 | 479 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 146 | 146 | $5K |
| D0330 | Panoramic radiographic image | 1.3% | 137 | 137 | $4K |
| D0274 | Bitewings - four radiographic images | 1.2% | 176 | 176 | $3K |
3 more codes
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.