Medicaid Provider Spending

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

JUN, SOO

NPI: 1447773346 · SUNLAND PARK, NM 88008 · Dentist · NPI assigned 07/23/2017

$11K
Total Medicaid Paid
692
Total Claims
474
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 692 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 211 35 $3K
D1120 Prophylaxis - child 48 45 $2K
D0140 Limited oral evaluation - problem focused 60 52 $2K
D0274 Bitewings - four radiographic images 59 57 $1K
D0220 Intraoral - periapical first radiographic image 104 95 $1K
D0150 Comprehensive oral evaluation - new or established patient 37 35 $1K
D0230 Intraoral - periapical each additional radiographic image 75 66 $541.88
D1208 Topical application of fluoride, excluding varnish 38 35 $348.16
D0270 31 27 $318.33
D1330 29 27 $0.00