Medicaid Provider Spending

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

BOSO PA

NPI: 1083154488 · CARROLLTON, TX 75007 · Dentist · NPI assigned 03/03/2017

$2K
Total Medicaid Paid
155
Total Claims
151
Beneficiaries
4
Codes Billed
2021-03
First Month
2022-03
Last Month

Provider Details

Authorized OfficialKANG, YOON (PRESIDENT)
NPI Enumeration Date03/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 100 $2K
2022 55 $917.83

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 42 40 $1K
D0220 Intraoral - periapical first radiographic image 42 41 $489.84
D0230 Intraoral - periapical each additional radiographic image 42 41 $448.89
D1208 Topical application of fluoride, excluding varnish 29 29 $426.30