Medicaid Provider Spending

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

HYUNGRIM OH, D.D.S., INC

NPI: 1073938072 · SAN FERNANDO, CA 91340 · Dentist · NPI assigned 02/27/2014

$10K
Total Medicaid Paid
208
Total Claims
198
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOH, HYUNGRIM (PRESIDENT/DENTIST)
NPI Enumeration Date02/27/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $900.00
2023 29 $955.20
2024 153 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 71 70 $4K
D0210 Intraoral - complete series of radiographic images 79 78 $4K
D1110 Prophylaxis - adult 25 25 $2K
D0350 33 25 $316.80