Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › COVINA › SOOYEOL SOHN DDS INC.

SOOYEOL SOHN DDS INC.

NPI: 1255970505 · COVINA, CA 91723 · Dental Clinic/Center · NPI assigned 01/04/2020

$7K
Total Medicaid Paid
191
Total Claims
122
Beneficiaries
3
Codes Billed
2024-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSOHN, SOOYEOL (DENTIST)
NPI Enumeration Date01/04/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 191 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 52 52 $3K
D0210 Intraoral - complete series of radiographic images 47 47 $2K
D0350 92 23 $883.20