Medicaid Provider Spending

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

KIM, BO

NPI: 1457769028 · TIMONIUM, MD 21093 · Dentist · NPI assigned 07/28/2014

$5K
Total Medicaid Paid
288
Total Claims
278
Beneficiaries
4
Codes Billed
2021-03
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 87 $2K
2022 201 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 173 163 $4K
D0120 Periodic oral evaluation - established patient 79 79 $774.00
D0274 Bitewings - four radiographic images 24 24 $264.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $250.00