Medicaid Provider Spending

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

YOUNG SIK LIM, DDS, INC

NPI: 1649879636 · MORENO VALLEY, CA 92557 · Dental Clinic/Center · NPI assigned 10/20/2020

$7K
Total Medicaid Paid
666
Total Claims
302
Beneficiaries
6
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIM, YOUNG SIK (PRESIDENT)
NPI Enumeration Date10/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 105 $1K
2024 561 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 340 93 $3K
D1206 Topical application of fluoride varnish 119 119 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $736.80
D0230 Intraoral - periapical each additional radiographic image 170 53 $660.15
D1120 Prophylaxis - child 12 12 $630.00
D1208 Topical application of fluoride, excluding varnish 13 13 $174.50