Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MD
›
OXON HILL
› PARK, SUNGBUM
PARK, SUNGBUM
NPI: 1366692147 · OXON HILL, MD 20745 ·
General Practice Dentistry
· NPI assigned 09/29/2008
$12K
Total Medicaid Paid
1,098
Total Claims
978
Beneficiaries
7
Codes Billed
2020-04
First Month
2022-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
219
$3K
2021
385
$4K
2022
494
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0140
176
174
$4K
D0274
183
173
$2K
D0220
373
357
$2K
D0150
57
55
$1K
D0330
28
28
$1K
D1110
45
38
$1K
D0230
236
153
$996.00