Dental
Kim, Min Tae
Kim, Min Tae was paid $241K by Medicaid between Jan 2018 and May 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoKIM, MIN TAE
SUWANEE, GA 30024
SUWANEE, GA 30024
33aNPI1881112035assigned 09/07/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$241K
24GClaims8,300
24DCodes billed18
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#17 of 63
Median peer was paid$30K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2018 | 7,400 | $214K | |
| 2020 | 12 | $336.00 | |
| 2022 | 262 | $7K | |
| 2023 | 480 | $15K | |
| 2024incomplete | 146 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,274 | 1,249 | $51K |
| D1351 | Sealant - per tooth | 15% | 876 | 290 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,103 | 1,086 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 839 | 824 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 8.2% | 427 | 263 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 160 | 80 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 209 | 127 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 451 | 443 | $9K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.6% | 146 | 77 | $9K |
| D0274 | Bitewings - four radiographic images | 3.3% | 479 | 477 | $8K |
| D1206 | Topical application of fluoride varnish | 3.3% | 306 | 304 | $8K |
| D9110 | 1.8% | 80 | 80 | $4K |
6 more codes
| D0272 | Bitewings - two radiographic images | 1.8% | 461 | $4K |
| D1110 | Prophylaxis - adult | 1.7% | 162 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 724 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 506 | $3K |
| D2140 | <1% | 53 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 44 | $648.00 |
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.