Medicaid Provider Spending

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

JI WON JUNG, DDS, PC

NPI: 1023360492 · WESTMINSTER, CO 80234 · Dental Clinic/Center · NPI assigned 10/10/2012

$34K
Total Medicaid Paid
1,216
Total Claims
1,035
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJUNG, JI WON (PRESIDENT/OWNER)
NPI Enumeration Date10/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 191 $5K
2019 323 $9K
2020 171 $4K
2021 122 $4K
2022 181 $5K
2023 129 $3K
2024 99 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 602 536 $14K
D0274 Bitewings - four radiographic images 215 191 $6K
D1110 Prophylaxis - adult 101 92 $6K
D0150 Comprehensive oral evaluation - new or established patient 92 68 $3K
D0330 Panoramic radiographic image 47 27 $2K
D1206 Topical application of fluoride varnish 113 83 $2K
D4910 12 12 $749.76
D0220 Intraoral - periapical first radiographic image 34 26 $434.21