Medicaid Provider Spending

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

JUSTIN J KWON DDS, P.C.

NPI: 1366918757 · BROOMFIELD, CO 80020 · General Practice Dentistry · NPI assigned 10/23/2018

$20K
Total Medicaid Paid
521
Total Claims
516
Beneficiaries
4
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKWON, JUSTIN (OWNER)
NPI Enumeration Date10/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 63 $2K
2022 137 $5K
2023 248 $9K
2024 73 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 253 253 $12K
D0120 Periodic oral evaluation - established patient 144 139 $4K
D0274 Bitewings - four radiographic images 83 83 $3K
D0150 Comprehensive oral evaluation - new or established patient 41 41 $2K