Medicaid Provider Spending

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

EDWARD S. SUH DMD INC

NPI: 1164674222 · BUENA PARK, CA 90620 · General Practice Dentistry · NPI assigned 10/21/2008

$3K
Total Medicaid Paid
75
Total Claims
75
Beneficiaries
3
Codes Billed
2023-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSUH, EDWARD (CEO)
NPI Enumeration Date10/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 38 $1K
2024 37 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 26 26 $2K
D0274 Bitewings - four radiographic images 37 37 $756.00
D1208 Topical application of fluoride, excluding varnish 12 12 $176.00