Medicaid Provider Spending

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

PARK, KYUNG

NPI: 1669518676 · ASHBURN, VA 20147 · General Practice Dentistry · NPI assigned 01/29/2007

$27K
Total Medicaid Paid
565
Total Claims
435
Beneficiaries
8
Codes Billed
2019-10
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 179 $16K
2020 45 $4K
2021 73 $2K
2022 94 $3K
2023 150 $2K
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 68 27 $8K
D2332 45 16 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 43 14 $4K
D1206 Topical application of fluoride varnish 204 196 $4K
D2331 28 12 $2K
D0120 Periodic oral evaluation - established patient 141 134 $2K
D1110 Prophylaxis - adult 24 24 $1K
D1120 Prophylaxis - child 12 12 $402.24