Medicaid Provider Spending

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

PAIK DENTAL GROUP INC

NPI: 1417694662 · LOS ANGELES, CA 90022 · Dental Clinic/Center · NPI assigned 05/18/2022

$5K
Total Medicaid Paid
222
Total Claims
129
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAIK, EUN (PRESIDENT)
NPI Enumeration Date05/18/2022

Related Entities

Other providers sharing the same authorized official: PAIK, EUN

ProviderCityStateTotal Paid
EUN JU PAIK DDS INC ANAHEIM CA $479K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 123 $4K
2024 99 $487.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 45 45 $3K
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0230 Intraoral - periapical each additional radiographic image 126 36 $477.90
D1208 Topical application of fluoride, excluding varnish 24 24 $334.50
D0220 Intraoral - periapical first radiographic image 15 12 $180.00