Medicaid Provider Spending

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

YI, SOPHIA

NPI: 1457630808 · WEST COLLINGSWOOD, NJ 08107 · Pediatric Dentist · NPI assigned 08/16/2011

$13K
Total Medicaid Paid
536
Total Claims
529
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 487 $12K
2019 49 $955.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 152 151 $5K
D0120 Periodic oral evaluation - established patient 174 171 $4K
D1208 Topical application of fluoride, excluding varnish 166 163 $3K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $325.00
D0272 Bitewings - two radiographic images 13 13 $236.00
D0603 18 18 $180.00