Medicaid Provider Spending

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

KIM, NURI

NPI: 1194047597 · FRISCO, TX 75035 · Dentist · NPI assigned 02/26/2010

$2K
Total Medicaid Paid
239
Total Claims
228
Beneficiaries
5
Codes Billed
2021-10
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $161.70
2022 85 $877.47
2023 142 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 50 50 $690.90
D0120 Periodic oral evaluation - established patient 24 24 $663.55
D0220 Intraoral - periapical first radiographic image 51 50 $597.18
D0230 Intraoral - periapical each additional radiographic image 47 38 $483.42
D0603 67 66 $0.00