Medicaid Provider Spending

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

KIM, JASON

NPI: 1265850754 · OREGON CITY, OR 97045 · Dentist · NPI assigned 04/01/2014

$5K
Total Medicaid Paid
1,022
Total Claims
986
Beneficiaries
10
Codes Billed
2018-10
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $2K
2022 262 $385.03
2023 562 $3K
2024 135 $0.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 51 50 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 15 $1K
D1110 Prophylaxis - adult 16 16 $752.00
D0220 Intraoral - periapical first radiographic image 59 56 $728.00
D0120 Periodic oral evaluation - established patient 18 18 $504.00
D0150 Comprehensive oral evaluation - new or established patient 14 14 $456.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $108.00
D0603 28 28 $0.25
D1310 382 369 $0.07
D1330 426 408 $0.00