Medicaid Provider Spending

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

KIM, HENRY

NPI: 1366924144 · OLYMPIA, WA 98501 · General Practice Dentistry · NPI assigned 08/29/2018

$2K
Total Medicaid Paid
108
Total Claims
106
Beneficiaries
4
Codes Billed
2021-04
First Month
2024-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 68 $2K
2023 27 $365.09
2024 13 $85.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 35 33 $924.00
D1120 Prophylaxis - child 19 19 $779.00
D0274 Bitewings - four radiographic images 14 14 $279.16
D0220 Intraoral - periapical first radiographic image 40 40 $250.26