Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› JD KIM PROFESSIONAL DENTAL CORP.
JD KIM PROFESSIONAL DENTAL CORP.
NPI: 1679131478 · POMONA, CA 91768 ·
1223G0001X
$112K
Total Medicaid Paid
3,546
Total Claims
2,898
Beneficiaries
12
Codes Billed
2020-07
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
67
$4K
2021
44
$3K
2022
685
$18K
2023
1,361
$42K
2024
1,389
$44K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
724
715
$47K
D0210
445
438
$18K
D0350
1,228
616
$16K
D0330
411
411
$12K
D1120
91
91
$5K
D1110
57
57
$5K
D1206
298
298
$5K
D0230
144
125
$2K
D0120
12
12
$925.00
D0220
79
79
$916.00
D9430
25
24
$800.00
D0274
32
32
$604.80