Medicaid Provider Spending

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

KEVIN SEUNGJOON HYUN D.D.S. INC

NPI: 1508354184 · CERRITOS, CA 90703 · Dental Clinic/Center · NPI assigned 04/29/2018

$48K
Total Medicaid Paid
1,207
Total Claims
1,114
Beneficiaries
9
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHYUN, KEVIN (PRESIDENT)
NPI Enumeration Date04/29/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $3K
2021 130 $4K
2022 225 $9K
2023 238 $8K
2024 573 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 176 176 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 122 53 $8K
D1206 Topical application of fluoride varnish 488 488 $8K
D0120 Periodic oral evaluation - established patient 75 74 $5K
D0150 Comprehensive oral evaluation - new or established patient 59 59 $4K
D0210 Intraoral - complete series of radiographic images 76 73 $3K
D1120 Prophylaxis - child 37 37 $2K
D0230 Intraoral - periapical each additional radiographic image 135 115 $1K
D0274 Bitewings - four radiographic images 39 39 $815.40