Medicaid Provider Spending

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

KIM, KELLY

NPI: 1760816607 · AUBREY, TX 76227 · General Practice Dentistry · NPI assigned 08/28/2013

$1K
Total Medicaid Paid
168
Total Claims
160
Beneficiaries
5
Codes Billed
2021-07
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 54 $352.80
2022 101 $942.29
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 38 38 $543.90
D0120 Periodic oral evaluation - established patient 12 12 $346.20
D0230 Intraoral - periapical each additional radiographic image 21 13 $241.71
D0220 Intraoral - periapical first radiographic image 13 13 $163.28
D0603 84 84 $0.00