Medicaid Provider Spending

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

KIM & LEE ORTHODONTICS

NPI: 1194091702 · FEDERAL WAY, WA 98003 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/28/2012

$6K
Total Medicaid Paid
27
Total Claims
26
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialKIM, EUNKOO (PRESIDENT)
NPI Enumeration Date03/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 13 13 $5K
D0160 14 13 $388.62