Medicaid Provider Spending

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

KAI CHANG D.D.S., INC.

NPI: 1194394700 · WALNUT, CA 91789 · Dental Clinic/Center · NPI assigned 06/18/2021

$6K
Total Medicaid Paid
212
Total Claims
162
Beneficiaries
5
Codes Billed
2023-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHANG, KAI (PRESIDENT)
NPI Enumeration Date06/18/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 55 $2K
2024 157 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 54 54 $4K
D1208 Topical application of fluoride, excluding varnish 69 69 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0274 Bitewings - four radiographic images 13 13 $280.80
D0230 Intraoral - periapical each additional radiographic image 64 14 $259.20