Medicaid Provider Spending

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

KIM, AMY

NPI: 1780033399 · HESPERIA, CA 92345 · Pediatric Dentist · NPI assigned 06/06/2016

$3K
Total Medicaid Paid
113
Total Claims
113
Beneficiaries
3
Codes Billed
2023-10
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 59 $2K
2024 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 52 52 $2K
D0120 Periodic oral evaluation - established patient 44 44 $902.88
D1120 Prophylaxis - child 17 17 $715.02