Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MATRACIA, YOON-MI

NPI: 1003011123 · DUBLIN, OH 43017 · Pediatric Dentist · NPI assigned 06/19/2007

$18K
Total Medicaid Paid
1,149
Total Claims
1,032
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 498 $7K
2019 227 $2K
2020 424 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 369 352 $6K
D0120 Periodic oral evaluation - established patient 281 265 $4K
D1208 Topical application of fluoride, excluding varnish 286 271 $4K
D2150 Silver amalgam - two surfaces, primary or permanent 28 12 $2K
D1351 Sealant - per tooth 56 16 $1K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $711.45
D0272 Bitewings - two radiographic images 74 74 $700.00
D0240 27 14 $306.36