Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROCKPORT › KIM, ALISA

KIM, ALISA

NPI: 1053540526 · BROCKPORT, NY 14420 · Dentist · NPI assigned 07/06/2009

$3K
Total Medicaid Paid
90
Total Claims
88
Beneficiaries
3
Codes Billed
2018-03
First Month
2022-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $3K
2022 25 $529.15

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 35 35 $2K
D0120 Periodic oral evaluation - established patient 43 41 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $171.00