Medicaid Provider Spending

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

GOOD CHOI'S DENTAL CARE, P.C.

NPI: 1265818363 · MANASSAS, VA 20109 · General Practice Dentistry · NPI assigned 07/31/2015

$2K
Total Medicaid Paid
96
Total Claims
96
Beneficiaries
2
Codes Billed
2018-08
First Month
2021-03
Last Month

Provider Details

Authorized OfficialCHOI, SUNGWON (GENERAL DENTIST/CLINIC OWNER)
NPI Enumeration Date07/31/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $291.06
2019 40 $823.28
2020 12 $249.48
2021 30 $613.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 68 68 $1K
D0120 Periodic oral evaluation - established patient 28 28 $564.20