Dental
Kim, Tony
Kim, Tony was paid $268K by Medicaid between Aug 2021 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoKIM, TONY
LONGVIEW, TX 75605
LONGVIEW, TX 75605
33aNPI1952748022assigned 05/30/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$268K
24GClaims9,419
24DCodes billed15
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#721 of 2,774
Median peer was paid$43K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2021 | 1,671 | $53K | |
| 2022 | 3,128 | $99K | |
| 2023 | 2,855 | $78K | |
| 2024incomplete | 1,765 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 719 | 330 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,617 | 1,617 | $45K |
| D1110 | Prophylaxis - adult | 16% | 790 | 790 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 876 | 876 | $31K |
| D1206 | Topical application of fluoride varnish | 8.5% | 1,562 | 1,562 | $23K |
| D0274 | Bitewings - four radiographic images | 6.2% | 654 | 654 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 172 | 172 | $12K |
| D0272 | Bitewings - two radiographic images | 4.5% | 682 | 682 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 97 | 65 | $8K |
| D0330 | Panoramic radiographic image | 1.1% | 238 | 238 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 140 | 140 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 19 | 14 | $515.09 |
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.