Medicaid Provider Spending

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

NPI: 1770130890 · EVERETT, WA 98204 · Dental Clinic/Center · NPI assigned 08/22/2019

$104K
Total Medicaid Paid
6,701
Total Claims
4,847
Beneficiaries
6
Codes Billed
2019-10
First Month
2020-03
Last Month

Provider Details

Authorized OfficialCHO, DAVID (DIRECTOR)
NPI Enumeration Date08/22/2019

Related Entities

Other providers sharing the same authorized official: CHO, DAVID

ProviderCityStateTotal Paid
D2D DENTAL MGMT, PLLC PRINCETON TX $7K
D W CHO DENTAL CORPORATION LOS ANGELES CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,904 $43K
2020 3,797 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 2,466 623 $43K
D1208 Topical application of fluoride, excluding varnish 1,578 1,574 $25K
D0191 1,398 1,394 $14K
D1330 1,001 998 $12K
D0150 Comprehensive oral evaluation - new or established patient 218 218 $8K
D1120 Prophylaxis - child 40 40 $919.20