Medicaid Provider Spending

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

KOREANESE DENTAL IMPLANT CENTER, PA

NPI: 1134586225 · HOUSTON, TX 77072 · Dentist · NPI assigned 01/21/2016

$2K
Total Medicaid Paid
113
Total Claims
113
Beneficiaries
7
Codes Billed
2023-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialHWANG, MYOUNG (OWNER)
NPI Enumeration Date01/21/2016

Related Entities

Other providers sharing the same authorized official: HWANG, MYOUNG

ProviderCityStateTotal Paid
LAKE JACKSON DENTAL CARE P.A. LAKE JACKSON TX $716K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 113 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $658.56
D0274 Bitewings - four radiographic images 16 16 $553.76
D0120 Periodic oral evaluation - established patient 15 15 $432.75
D1208 Topical application of fluoride, excluding varnish 18 18 $264.60
D0220 Intraoral - periapical first radiographic image 17 17 $213.52
D0230 Intraoral - periapical each additional radiographic image 17 17 $195.67
D0602 18 18 $0.00