Medicaid Provider Spending

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

SUNG KOO KIM,DDS,INC.

NPI: 1437523883 · ROWLAND HEIGHTS, CA 91748 · Dental Clinic/Center

$112K

Total Medicaid Paid

4,130

Total Claims

3,327

Beneficiaries

10

Codes Billed

2018-02

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	450	$12K
2019	393	$13K
2020	362	$12K
2021	234	$7K
2022	634	$21K
2023	1,161	$29K
2024	896	$19K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		444	441	$27K
D1110		235	235	$20K
D0120		267	266	$17K
D9430		563	406	$17K
D1208		834	832	$11K
D0330		372	367	$11K
D0230		1,207	579	$6K
D0274		128	128	$2K
D1120		26	26	$990.00
D0220		54	47	$561.00