Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› LEE, SUNGGYU
LEE, SUNGGYU
NPI: 1093208514 · STRONGSVILLE, OH 44136 ·
General Practice Dentistry
· NPI assigned 06/09/2018
$799.40
Total Medicaid Paid
25
Total Claims
24
Beneficiaries
2
Codes Billed
2019-07
First Month
2019-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
25
$799.40
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0330
Panoramic radiographic image
12
12
$509.50
D0150
Comprehensive oral evaluation - new or established patient
13
12
$289.90