Medicaid Provider Spending

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

DONGHYUN NOH DMD LLC

NPI: 1487011805 · WALPOLE, MA 02081 · 1223G0001X

$4K

Total Medicaid Paid

129

Total Claims

114

Beneficiaries

5

Codes Billed

2018-02

First Month

2018-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	129	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		39	38	$2K
D0150		15	15	$639.00
D0220		32	31	$454.00
D0274		13	13	$420.00
D0230		30	17	$352.00