Medicaid Provider Spending

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

PARK, SONG

NPI: 1225486947 · HOGANSBURG, NY 13655 · Dentist · NPI assigned 06/03/2016

$33K
Total Medicaid Paid
664
Total Claims
626
Beneficiary Records
4
Codes Billed
2019-11
First Month
2021-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 61 $3K
2020 475 $24K
2021 128 $6K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9999 Unspecified adjunctive procedure, by report 297 262 $29K
D0330 Panoramic radiographic image 175 172 $2K
D0140 Limited oral evaluation - problem focused 127 127 $1K
D0150 Comprehensive oral evaluation - new or established patient 65 65 $700.00