Kim, Ji Hyun

Kim, Ji Hyun was paid $31K by Medicaid between Mar 2018 and Oct 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.

33Billing provider infoKIM, JI HYUN
MERIDEN, CT 06451

33aNPI1891081022assigned 06/27/2011

33bProvider typeDentist

28Total paid$31K

24GClaims1,219

24DCodes billed6

24AFirst – last monthMar 2018 – Oct 2020

Compared with peers

Next to other Dentist providers in Connecticut

Rank by total paid#84 of 153

Median peer was paid$41K

This provider vs. median0.8×

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
2018	469	$13K
2019	500	$12K
2020	250	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	45%	628	603	$14K
D1110	Prophylaxis - adult	35%	385	367	$11K
D1208	Topical application of fluoride, excluding varnish	6.7%	102	100	$2K
D0274	Bitewings - four radiographic images	6.5%	71	70	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	5.1%	20	12	$2K
D1120	Dental cleaning, childProphylaxis - child	1.9%	13	13	$586.04

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.