Dental
Kim, Moochan
Kim, Moochan was paid $448K by Medicaid between Aug 2019 and Dec 2021, across 21 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.
33Billing provider infoKIM, MOOCHAN
WAKE FOREST, NC 27587
WAKE FOREST, NC 27587
33aNPI1992359954assigned 07/29/2019
33bProvider typeDentist
28Total paid$448K
24GClaims20,001
24DCodes billed21
24AFirst – last monthAug 2019 – Dec 2021
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#136 of 402
Median peer was paid$154K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 2,570 | $66K | |
| 2020 | 7,091 | $160K | |
| 2021 | 10,340 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 18% | 1,422 | 960 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,127 | 1,908 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,386 | 1,276 | $55K |
| D1110 | Prophylaxis - adult | 11% | 1,185 | 1,101 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 1,349 | 1,239 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 497 | 380 | $28K |
| D0274 | Bitewings - four radiographic images | 5.5% | 1,668 | 1,496 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,142 | 1,044 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 876 | 824 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 3,007 | 2,674 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 2,538 | 2,218 | $14K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 864 | 784 | $13K |
9 more codes
| D1351 | Sealant - per tooth | 2.7% | 177 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 208 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 109 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 355 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 45 | $2K |
| D0270 | <1% | 182 | $996.80 | |
| D2332 | <1% | 13 | $988.80 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 15 | $722.25 |
| D1999 | 0% | 836 | $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.