Medicaid Provider Spending

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

HAK CHEON KIM DDS INC

NPI: 1487720785 · ONTARIO, CA 91761 · 1223G0001X

$99K

Total Medicaid Paid

4,867

Total Claims

3,721

Beneficiaries

12

Codes Billed

2018-01

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,543	$24K
2019	1,084	$21K
2020	376	$7K
2021	640	$11K
2022	647	$18K
2023	379	$14K
2024	198	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		853	850	$37K
D1110		236	235	$18K
D1120		408	406	$13K
D0274		541	539	$11K
D0230		2,288	1,174	$9K
D1208		244	242	$2K
D0150		42	41	$2K
D9430		56	52	$2K
D0210		37	37	$2K
D2392		27	12	$2K
D0220		108	106	$1K
D0272		27	27	$324.00