Medicaid Provider Spending

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

RENA DENTAL PC

NPI: 1255995288 · PASADENA, TX 77504 · General Practice Dentistry · NPI assigned 04/25/2019

$2K
Total Medicaid Paid
155
Total Claims
138
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-03
Last Month

Provider Details

Authorized OfficialYOON, MYUNG (OWNER DENTIST)
NPI Enumeration Date04/25/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $522.60
2023 97 $1K
2024 28 $176.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 34 27 $778.95
D1208 Topical application of fluoride, excluding varnish 59 52 $735.00
D1120 Prophylaxis - child 15 13 $477.75
D0602 47 46 $0.00