Medicaid Provider Spending

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

LEE, WON-JOON

NPI: 1508048463 · ZIONSVILLE, IN 46077 · General Practice Dentistry · NPI assigned 12/03/2007

$37K
Total Medicaid Paid
1,245
Total Claims
1,054
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $0.00
2021 55 $2K
2022 109 $5K
2023 480 $15K
2024 490 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 465 435 $20K
D0120 Periodic oral evaluation - established patient 382 359 $7K
D0274 Bitewings - four radiographic images 161 143 $5K
D1351 Sealant - per tooth 129 13 $3K
D0150 Comprehensive oral evaluation - new or established patient 51 50 $1K
D1206 Topical application of fluoride varnish 57 54 $876.21