Medicaid Provider Spending

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

JIMMY C.S. WANG DDS, INC

NPI: 1609285303 · WHITTIER, CA 90603 · General Practice Dentistry · NPI assigned 08/06/2014

$1K
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialWANG, JIMMY (PRESIDENT)
NPI Enumeration Date08/06/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $1K
D1208 Topical application of fluoride, excluding varnish 15 15 $194.00