Medicaid Provider Spending

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

BAE LIM DENTAL CORPORATION

NPI: 1467878918 · LOS ANGELES, CA 90029 · Dentist · NPI assigned 03/07/2014

$28K
Total Medicaid Paid
2,701
Total Claims
1,406
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialBAE, PETER (PRESIDENT)
NPI Enumeration Date03/07/2014

Related Entities

Other providers sharing the same authorized official: BAE, PETER

ProviderCityStateTotal Paid
PETER H. BAE DDS. DENTAL CORPORATION INGLEWOOD CA $10.97M
P.H. BAE, DDS,INC. LOS ANGELES CA $6.96M
PETER HYUN BAE, DDS, INC. LOS ANGELES CA $6.89M
P.H. BAE DENTAL CORPORATION LOS ANGELES CA $5.58M
KINGSBRIDGE OPTOMETRIC EYE CARE P.C. BRONX NY $3.66M
P HYUN BAE DENTAL CORPORATION LOS ANGELES CA $2.75M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,701 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 303 299 $9K
D0120 Periodic oral evaluation - established patient 245 244 $6K
D0230 Intraoral - periapical each additional radiographic image 1,524 310 $5K
D1208 Topical application of fluoride, excluding varnish 305 300 $3K
D1351 Sealant - per tooth 98 30 $2K
D0220 Intraoral - periapical first radiographic image 166 163 $2K
D0274 Bitewings - four radiographic images 32 32 $576.00
D0272 Bitewings - two radiographic images 28 28 $270.00