Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2021 36 $300.00
2022 67 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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