Medicaid Provider Spending

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

SON, YOUNGIN

NPI: 1306277868 · TENAFLY, NJ 07670 · Dentist · NPI assigned 12/10/2013

$3K
Total Medicaid Paid
111
Total Claims
111
Beneficiaries
7
Codes Billed
2021-07
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 66 $1K
2023 45 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 19 19 $675.00
D0210 Intraoral - complete series of radiographic images 13 13 $585.00
D1120 Prophylaxis - child 15 15 $487.50
D0150 Comprehensive oral evaluation - new or established patient 13 13 $325.00
D1208 Topical application of fluoride, excluding varnish 15 15 $232.50
D9920 12 12 $210.00
D0220 Intraoral - periapical first radiographic image 24 24 $109.50