Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VALENCIA › WYNDHAMSMITHA ND KIM, A PROFESSIONAL DENTAL CORPORATION

WYNDHAMSMITHA ND KIM, A PROFESSIONAL DENTAL CORPORATION

NPI: 1215159389 · VALENCIA, CA 91355 · Dentist · NPI assigned 05/02/2007

$799.80
Total Medicaid Paid
60
Total Claims
60
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-07
Last Month

Provider Details

Authorized OfficialWYNDHAMSMITH, DAVID (OWNER/DENTIST)
NPI Enumeration Date05/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60 $799.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 28 28 $591.00
D0274 Bitewings - four radiographic images 32 32 $208.80