Medicaid Provider Spending

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

SEONGRO YOON DDS INC.

NPI: 1043993470 · FONTANA, CA 92336 · General Practice Dentistry · NPI assigned 08/11/2023

$3K
Total Medicaid Paid
42
Total Claims
42
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialYOON, SEONGRO (DENTIST)
NPI Enumeration Date08/11/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 42 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $1K
D0150 Comprehensive oral evaluation - new or established patient 15 15 $990.00
D0210 Intraoral - complete series of radiographic images 13 13 $624.00