Medicaid Provider Spending

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

KIM, JASON

NPI: 1467913863 · LYNDHURST, NJ 07071 · Dentist · NPI assigned 03/28/2019

$25K
Total Medicaid Paid
842
Total Claims
842
Beneficiaries
8
Codes Billed
2020-10
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 165 $5K
2021 677 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 217 217 $10K
D0120 Periodic oral evaluation - established patient 192 192 $5K
D1208 Topical application of fluoride, excluding varnish 131 131 $3K
D1120 Prophylaxis - child 55 55 $2K
D0274 Bitewings - four radiographic images 178 178 $2K
D0150 Comprehensive oral evaluation - new or established patient 45 45 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $540.00
D0140 Limited oral evaluation - problem focused 12 12 $540.00