Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › CLARKSBURG › GOOD NEIGHBOR DENTAL

GOOD NEIGHBOR DENTAL

NPI: 1417350281 · CLARKSBURG, MD 20871 · Dentist · NPI assigned 10/07/2014

$19K
Total Medicaid Paid
802
Total Claims
755
Beneficiaries
5
Codes Billed
2018-05
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLEE, KYU (DENTIST)
NPI Enumeration Date10/07/2014

Related Entities

Other providers sharing the same authorized official: LEE, KYU

ProviderCityStateTotal Paid
KYU H LEE DMD,INC COLTON CA $484K
PINE TREE DENTAL CARE PLLC MIDLOTHIAN VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $3K
2019 369 $9K
2020 173 $4K
2021 135 $3K
2022 14 $322.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 308 295 $7K
D0120 Periodic oral evaluation - established patient 210 198 $6K
D1120 Prophylaxis - child 95 83 $4K
D1330 176 166 $1K
D1110 Prophylaxis - adult 13 13 $755.95