Dental
Kim, Ilsoon
Kim, Ilsoon was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoKIM, ILSOON
SCHAUMBURG, IL 60173
SCHAUMBURG, IL 60173
33aNPI1982080644assigned 08/05/2015
33bProvider typeDentist
28Total paid$1.50M
24GClaims50,173
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#101 of 1,099
Median peer was paid$160K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2018 | 14,968 | $349K | |
| 2019 | 11,746 | $274K | |
| 2020 | 10,331 | $235K | |
| 2021 | 3,036 | $138K | |
| 2022 | 2,567 | $131K | |
| 2023 | 3,669 | $186K | |
| 2024incomplete | 3,856 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 6,217 | 5,994 | $335K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 6,442 | 6,035 | $226K |
| D1206 | Topical application of fluoride varnish | 14% | 6,002 | 5,790 | $208K |
| D1351 | Sealant - per tooth | 9.0% | 2,868 | 843 | $135K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 1,717 | 1,169 | $100K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 1,555 | 847 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 2,992 | 2,852 | $71K |
| D0274 | Bitewings - four radiographic images | 4.5% | 3,707 | 3,483 | $68K |
| D1110 | Prophylaxis - adult | 4.0% | 1,574 | 1,411 | $60K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,163 | 762 | $43K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 5,556 | 5,189 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 436 | 324 | $23K |
13 more codes
| D0272 | Bitewings - two radiographic images | 1.5% | 1,875 | $23K |
| D0330 | Panoramic radiographic image | 1.5% | 932 | $22K |
| D1354 | 1.3% | 620 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 4,475 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 738 | $13K |
| D5110 | <1% | 18 | $7K | |
| D5120 | <1% | 17 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 165 | $4K |
| D2332 | <1% | 55 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 284 | $3K |
| D2331 | <1% | 46 | $3K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 40 | $2K |
| D1999 | 0% | 679 | $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.