Dental
Kim, Bomi
Kim, Bomi was paid $166K by Medicaid between Nov 2022 and Feb 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.
33Billing provider infoKIM, BOMI
CULPEPER, VA 22701
CULPEPER, VA 22701
33aNPI1962997130assigned 06/28/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$166K
24GClaims4,720
24DCodes billed15
24AFirst – last monthNov 2022 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#159 of 549
Median peer was paid$29K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2022 | 491 | $31K | |
| 2023 | 3,916 | $135K | |
| 2024incomplete | 313 | $0.00 |
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 | 36% | 1,524 | 350 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 299 | 116 | $24K |
| D1110 | Prophylaxis - adult | 13% | 622 | 603 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 229 | 92 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 492 | 482 | $16K |
| D0274 | Bitewings - four radiographic images | 4.5% | 402 | 388 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 362 | 351 | $6K |
| D0330 | Panoramic radiographic image | 2.6% | 62 | 62 | $4K |
| D2950 | 1.6% | 19 | 13 | $3K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 77 | 77 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 293 | 280 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 191 | 163 | $1K |
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.