Medicaid Provider Spending

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

JONG-BUM SEO AND YVONNE LEE, D.M.D., P.A.

NPI: 1790007086 · RANDALLSTOWN, MD 21133 · Dentist · NPI assigned 02/27/2010

$79K
Total Medicaid Paid
2,144
Total Claims
2,132
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSEO, JONG-BUM (PRESIDENT)
NPI Enumeration Date02/27/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131 $3K
2019 30 $781.20
2020 12 $72.00
2021 84 $2K
2022 120 $3K
2023 910 $36K
2024 857 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 503 499 $33K
D1208 Topical application of fluoride, excluding varnish 830 825 $20K
D0120 Periodic oral evaluation - established patient 502 502 $16K
D0150 Comprehensive oral evaluation - new or established patient 124 121 $7K
D0274 Bitewings - four radiographic images 134 134 $3K
D1330 39 39 $234.00
D0220 Intraoral - periapical first radiographic image 12 12 $118.20