Medicaid Provider Spending

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

JACK YU DDS INC

NPI: 1144723107 · CHINO, CA 91710 · Endodontist · NPI assigned 03/15/2018

$3K
Total Medicaid Paid
47
Total Claims
47
Beneficiaries
2
Codes Billed
2019-05
First Month
2019-08
Last Month

Provider Details

Authorized OfficialYU, JACK (OWNER)
NPI Enumeration Date03/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 47 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 30 30 $2K
D0210 Intraoral - complete series of radiographic images 17 17 $816.00