Medicaid Provider Spending

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

KIM, EUKYEOM

NPI: 1780971960 · HORIZON CITY, TX 79928 · Dentist · NPI assigned 07/07/2011

$7K
Total Medicaid Paid
446
Total Claims
406
Beneficiaries
6
Codes Billed
2020-12
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $884.74
2021 198 $4K
2022 166 $2K
2023 26 $493.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 119 118 $3K
D1208 Topical application of fluoride, excluding varnish 141 140 $2K
D0230 Intraoral - periapical each additional radiographic image 92 55 $955.33
D0220 Intraoral - periapical first radiographic image 69 68 $803.84
D0274 Bitewings - four radiographic images 12 12 $415.32
D0601 13 13 $0.00