Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FORT LEE
› KOO, HAYEON
KOO, HAYEON
NPI: 1326545377 · FORT LEE, NJ 07024 ·
General Practice Dentistry
· NPI assigned 04/06/2018
$15K
Total Medicaid Paid
1,045
Total Claims
1,033
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
12
$96.00
2021
892
$14K
2023
43
$215.00
2024
98
$453.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
122
122
$3K
D0150
84
84
$2K
D0210
58
58
$2K
D1208
161
161
$1K
D0120
67
67
$1K
D0220
235
234
$1K
D2392
26
23
$1K
D0140
39
37
$792.50
D0274
74
74
$707.60
D1120
35
35
$700.00
D2391
19
15
$665.00
D2393
14
12
$630.00
D0230
111
111
$395.10