Medicaid Provider Spending

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

YOON, SOO KYO

NPI: 1124374038 · WILLIAMSBURG, VA 23188 · General Practice Dentistry · NPI assigned 07/28/2012

$858.90
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2022-11
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 14 $858.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $858.90