Medicaid Provider Spending

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

DANBURYDDS, P.C.

NPI: 1831893403 · DANBURY, CT 06810 · General Practice Dentistry · NPI assigned 03/28/2023

$80K
Total Medicaid Paid
3,455
Total Claims
2,742
Beneficiaries
8
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, IN KYUNG (OWNER)
NPI Enumeration Date03/28/2023

Related Entities

Other providers sharing the same authorized official: LEE, IN KYUNG

ProviderCityStateTotal Paid
BRILLIANT SMILE DENTAL, P.C. MERIDEN CT $1.94M
DERBYDDS, P.C. DERBY CT $187K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 347 $9K
2024 3,108 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 669 432 $18K
D1110 Prophylaxis - adult 393 346 $14K
D0274 Bitewings - four radiographic images 459 411 $12K
D0330 Panoramic radiographic image 238 200 $11K
D1208 Topical application of fluoride, excluding varnish 454 406 $8K
D0230 Intraoral - periapical each additional radiographic image 613 424 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 98 51 $6K
D0220 Intraoral - periapical first radiographic image 531 472 $6K