Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTEREY PARK › SIMON WONG DENTAL GROUP INC.

SIMON WONG DENTAL GROUP INC.

NPI: 1689296105 · MONTEREY PARK, CA 91755 · Dental Clinic/Center · NPI assigned 05/07/2020

$18K
Total Medicaid Paid
438
Total Claims
347
Beneficiaries
3
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWONG, SIMON (PRESIDENT)
NPI Enumeration Date05/07/2020

Related Entities

Other providers sharing the same authorized official: WONG, SIMON

ProviderCityStateTotal Paid
SIMONWONGDDSINC GLENDALE CA $313K
MIGHTY SMILES LLC BROOKLYN NY $43K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 438 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 289 198 $9K
D0150 Comprehensive oral evaluation - new or established patient 109 109 $7K
D0210 Intraoral - complete series of radiographic images 40 40 $2K