Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› JEON, KYOUNGSOO
JEON, KYOUNGSOO
NPI: 1245728104 · DUNKIRK, NY 14048 ·
Dentist
· NPI assigned 04/26/2018
$2K
Total Medicaid Paid
103
Total Claims
103
Beneficiaries
3
Codes Billed
2021-05
First Month
2022-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
36
$300.00
2022
67
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0140
Limited oral evaluation - problem focused
43
43
$972.07
D1206
Topical application of fluoride varnish
24
24
$360.00
D0220
Intraoral - periapical first radiographic image
36
36
$180.00