SAMUEL H. KO, DDS, INC.
NPI: 1770965535
· VICTORVILLE, CA 92395
· 1223G0001X
$6.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53,188 |
$1.17M |
| 2019 |
47,764 |
$1.09M |
| 2020 |
33,684 |
$746K |
| 2021 |
36,881 |
$847K |
| 2022 |
36,095 |
$1.09M |
| 2023 |
34,264 |
$1.01M |
| 2024 |
34,102 |
$989K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
27,949 |
27,815 |
$1.52M |
| D1120 |
|
31,138 |
30,957 |
$1.19M |
| D1351 |
|
26,113 |
6,479 |
$738K |
| D2150 |
|
10,391 |
6,067 |
$695K |
| D0272 |
|
32,442 |
32,269 |
$382K |
| D0150 |
|
6,020 |
6,003 |
$372K |
| D1208 |
|
30,670 |
30,493 |
$368K |
| D0230 |
|
81,020 |
39,467 |
$321K |
| D2930 |
|
1,866 |
1,459 |
$218K |
| D3220 |
|
2,167 |
1,632 |
$214K |
| D2140 |
|
3,749 |
2,736 |
$203K |
| D2160 |
|
2,138 |
1,652 |
$170K |
| D0220 |
|
11,924 |
10,230 |
$140K |
| D1110 |
|
1,527 |
1,526 |
$130K |
| D0145 |
|
1,557 |
1,548 |
$90K |
| D9430 |
|
2,756 |
2,673 |
$87K |
| D2330 |
|
514 |
342 |
$39K |
| D1310 |
|
629 |
628 |
$28K |
| D2335 |
|
91 |
64 |
$11K |
| D1206 |
|
409 |
408 |
$7K |
| D7140 |
|
117 |
73 |
$7K |
| D0601 |
|
444 |
444 |
$6K |
| D2332 |
|
41 |
30 |
$4K |
| D0340 |
|
57 |
57 |
$3K |
| D4341 |
|
39 |
15 |
$3K |
| D2331 |
|
36 |
28 |
$3K |
| D0603 |
|
107 |
106 |
$2K |
| D0270 |
|
67 |
66 |
$335.00 |