Dental
MLK Community Dental & Denture Clinic
MLK Community Dental & Denture Clinic was paid $73K by Medicaid between Mar 2023 and Dec 2024, across 12 billing codes. Its largest line is D4341, — 23% of everything it billed.
33Billing provider infoMLK COMMUNITY DENTAL & DENTURE CLINIC
SEATTLE, WA 98118
SEATTLE, WA 98118
33aNPI1861126328assigned 07/11/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$73K
24GClaims2,641
24DCodes billed12
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#123 of 319
Median peer was paid$22K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2023 | 648 | $18K | |
| 2024incomplete | 1,993 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 23% | 387 | 96 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 315 | 303 | $14K |
| D0330 | Panoramic radiographic image | 15% | 285 | 277 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 95 | 15 | $10K |
| D1206 | Topical application of fluoride varnish | 8.1% | 255 | 244 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 404 | 379 | $5K |
| D0274 | Bitewings - four radiographic images | 6.1% | 296 | 287 | $4K |
| D1110 | Prophylaxis - adult | 5.8% | 76 | 74 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 20 | 19 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 331 | 297 | $843.21 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $467.36 |
| D0350 | 0% | 164 | 161 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKIM, SUN (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sun Kim Medical Corporation | Buena Park, CA | $35K |
| DR. Sun Hyun Kim DMD P.C | Stafford, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.