Medicaid Provider Spending

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

JO, CHUNGMI

NPI: 1003222811 · WAXAHACHIE, TX 75165 · General Practice Dentistry · NPI assigned 07/01/2014

$4K
Total Medicaid Paid
327
Total Claims
318
Beneficiaries
5
Codes Billed
2021-01
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 38 $173.46
2022 146 $2K
2023 143 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 49 49 $1K
D1208 Topical application of fluoride, excluding varnish 93 90 $1K
D0220 Intraoral - periapical first radiographic image 41 41 $509.92
D0230 Intraoral - periapical each additional radiographic image 34 28 $355.86
D0603 110 110 $0.00