Medicaid Provider Spending

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

EUKYEOM KIM DDS PLLC

NPI: 1568853398 · HORIZON CITY, TX 79928 · General Practice Dentistry · NPI assigned 02/16/2015

$95K
Total Medicaid Paid
5,619
Total Claims
4,811
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIM, EUKYEOM (D.D.S)
NPI Enumeration Date02/16/2015

Related Entities

Other providers sharing the same authorized official: KIM, EUKYEOM

ProviderCityStateTotal Paid
HEALING DENTISTRY EP PLLC EL PASO TX $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 62 $775.53
2021 1,666 $28K
2022 1,526 $27K
2023 1,263 $22K
2024 1,102 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 774 741 $20K
D1110 Prophylaxis - adult 327 320 $16K
D0230 Intraoral - periapical each additional radiographic image 1,435 789 $15K
D0274 Bitewings - four radiographic images 398 384 $12K
D0220 Intraoral - periapical first radiographic image 948 903 $11K
D1208 Topical application of fluoride, excluding varnish 646 624 $9K
D1120 Prophylaxis - child 202 194 $7K
D1206 Topical application of fluoride varnish 203 191 $3K
D0150 Comprehensive oral evaluation - new or established patient 71 68 $2K
D0601 533 518 $0.00
D0603 44 41 $0.00
D0602 38 38 $0.00