Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FONTANA › JUN SON Y OO D.D.S INC

JUN SON Y OO D.D.S INC

NPI: 1275287880 · FONTANA, CA 92335 · General Practice Dentistry · NPI assigned 02/11/2022

$6K
Total Medicaid Paid
119
Total Claims
107
Beneficiaries
4
Codes Billed
2023-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialYOO, JUN (DENTIST)
NPI Enumeration Date02/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $792.00
2024 107 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 61 61 $4K
D1110 Prophylaxis - adult 16 16 $1K
D1320 18 18 $292.50
D0230 Intraoral - periapical each additional radiographic image 24 12 $263.25