Medicaid Provider Spending

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

JAMES Y KIM D.D.S INC

NPI: 1013237437 · HACIENDA HEIGHTS, CA 91745 · 1223G0001X

$44K

Total Medicaid Paid

1,280

Total Claims

994

Beneficiaries

10

Codes Billed

2018-01

First Month

2019-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	817	$27K
2019	463	$17K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		218	215	$17K
D0120		173	173	$7K
D0150		134	133	$7K
D0210		117	116	$5K
D2392		51	27	$3K
D0230		425	179	$2K
D2391		25	14	$1K
D1120		43	43	$1K
D1208		70	70	$702.00
D0274		24	24	$518.40