Medicaid Provider Spending

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

SUN, BENJAMIN

NPI: 1023230612 · SHORELINE, WA 98155 · Pediatric Dentist · NPI assigned 05/03/2007

$23K
Total Medicaid Paid
968
Total Claims
959
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 968 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 229 227 $7K
D1208 Topical application of fluoride, excluding varnish 235 231 $5K
D1120 Prophylaxis - child 229 227 $5K
D9999 Unspecified adjunctive procedure, by report 184 183 $5K
D0272 Bitewings - two radiographic images 29 29 $298.41
D0220 Intraoral - periapical first radiographic image 32 32 $253.44
D0230 Intraoral - periapical each additional radiographic image 30 30 $71.10