Dental
Bae, Su Jin
Bae, Su Jin was paid $638K by Medicaid between Mar 2018 and Dec 2021, across 21 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 18% of everything it billed.
33Billing provider infoBAE, SU JIN
NATICK, MA 01760
NATICK, MA 01760
33aNPI1962959320assigned 09/02/2016
33bProvider typeDentist
28Total paid$638K
24GClaims18,821
24DCodes billed21
24AFirst – last monthMar 2018 – Dec 2021
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#92 of 413
Median peer was paid$93K
This provider vs. median6.9×
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 | 1,438 | $47K | |
| 2019 | 8,675 | $310K | |
| 2020 | 2,338 | $73K | |
| 2021 | 6,370 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 18% | 3,355 | 3,344 | $116K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,690 | 2,681 | $113K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 898 | 664 | $68K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 1,199 | 925 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 2,808 | 2,798 | $58K |
| D0330 | Panoramic radiographic image | 5.6% | 717 | 717 | $36K |
| D1351 | Sealant - per tooth | 5.4% | 1,736 | 613 | $35K |
| D0274 | Bitewings - four radiographic images | 5.3% | 1,404 | 1,400 | $34K |
| D1110 | Prophylaxis - adult | 3.9% | 622 | 620 | $25K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.8% | 294 | 236 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 549 | 547 | $16K |
| D2140 | 1.9% | 263 | 217 | $12K |
9 more codes
| D0272 | Bitewings - two radiographic images | 1.5% | 538 | $10K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 359 | $9K |
| D1354 | 1.0% | 263 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 449 | $5K |
| D9992 | <1% | 328 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 84 | $4K |
| D9310 | <1% | 74 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 158 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 33 | $841.50 |
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.