Dental
Kim, Jae Ha
Kim, Jae Ha was paid $158K by Medicaid between Oct 2019 and Apr 2022, across 19 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 20% of everything it billed.
33Billing provider infoKIM, JAE HA
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
33aNPI1902463052assigned 05/23/2019
33bProvider typeDentist
28Total paid$158K
24GClaims4,476
24DCodes billed19
24AFirst – last monthOct 2019 – Apr 2022
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#116 of 417
Median peer was paid$34K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 345 | $12K | |
| 2020 | 53 | $1K | |
| 2021 | 681 | $23K | |
| 2022 | 3,397 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 20% | 464 | 170 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 382 | 366 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 203 | 131 | $18K |
| D1110 | Prophylaxis - adult | 11% | 380 | 380 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 439 | 439 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 394 | 393 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 210 | 209 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 622 | 341 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 537 | 535 | $6K |
| D0274 | Bitewings - four radiographic images | 3.2% | 185 | 185 | $5K |
| D1206 | Topical application of fluoride varnish | 2.8% | 214 | 214 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 174 | 174 | $4K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 35 | $3K |
| D1351 | Sealant - per tooth | 1.6% | 77 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 19 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 76 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 39 | $785.85 |
| D1999 | 0% | 14 | $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.