Medicaid Provider Spending

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

LEE, BOUNGHOON

NPI: 1215343512 · LITCHFIELD PARK, AZ 85340 · 122300000X

$4K

Total Medicaid Paid

210

Total Claims

207

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	210	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0140		98	98	$2K
D0120		33	33	$563.64
D1110		13	13	$443.69
D0274		14	14	$280.00
D0220		52	49	$255.00